Individual
GARY NOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 N MAIN ST., LYMAN, WY 82937
(307) 787-3313
(307) 787-3312
Mailing address
PO BOX 189, LYMAN, WY 82937-0189
(307) 787-3313
(307) 787-3312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3898A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103803600
—
WY
01
—
308484
BCBS
TN
Enumeration date
06/16/2005
Last updated
04/17/2013
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