Individual
BETH C ROBITAILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1522 E A ST, CASPER, WY 82601-2217
(307) 234-6161
(307) 234-7033
Mailing address
1522 E A ST, CASPER, WY 82601-2217
(307) 234-6161
(307) 234-7033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6208A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01355569
—
CO
05
—
1139185-00
—
WY
Enumeration date
06/13/2006
Last updated
07/17/2023
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