Individual
TIPTON WILLIAM YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5456 WALKER RD, CHEYENNE, WY 82009
(307) 635-7858
Mailing address
5456 WALKER RD, CHEYENNE, WY 82009
(307) 635-7858
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
225T
WY
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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