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Individual

JOSEPH M VIGNERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6500 E 2ND ST, SUITE 101, CASPER, WY 82609
(307) 577-4240
(307) 577-0012
Mailing address
6500 E 2ND ST, SUITE 101, CASPER, WY 82609-4338
(307) 577-4240
(307) 577-0012

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2378A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040004052
RAILROAD MEDICARE
WY
05
101580000
WY
01
301831
BLUE CROSS BLUIE SHIELD
WY
Enumeration date
12/14/2005
Last updated
07/15/2011
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