Individual
MATTHEW D CHYNOWETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4850 CHINOOK TRL, CASPER, WY 82604-5201
(307) 473-8173
Mailing address
4850 CHINOOK TRL, CASPER, WY 82604-5201
(307) 473-8173
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
7192A
WY
207L00000X
Anesthesiology Physician
Primary
7192A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121629500
—
WY
Enumeration date
08/20/2006
Last updated
10/19/2021
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