Individual
JOHN D BARRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4140 CENTENNIAL HILLS BLVD, SUITE A, CASPER, WY 82609-3265
(307) 265-7205
(307) 235-6262
Mailing address
4140 CENTENNIAL HILLS BLVD, SUITE A, CASPER, WY 82609-3265
(307) 265-7205
(307) 235-6262
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3503A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302217
BCBS
WY
Enumeration date
08/12/2005
Last updated
10/18/2007
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