Individual
WALLACE M CURRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1180 COLLEGE DR, SUITE 3-4, ROCK SPRINGS, WY 82901-5863
(307) 362-4200
(307) 362-5406
Mailing address
1180 COLLEGE DR, SUITE 3-4, ROCK SPRINGS, WY 82901-5863
(307) 362-4200
(307) 362-5406
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
04-30150
KS
208800000X
Urology Physician
Primary
9946A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100641240A
—
KS
Enumeration date
06/20/2006
Last updated
05/12/2021
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