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Individual

W. CARLTON RECKLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 E 20TH ST, SUITE 300, CHEYENNE, WY 82001-3859
(307) 632-6637
(307) 632-3382
Mailing address
800 E 20TH ST, SUITE 300, CHEYENNE, WY 82001-3859
(307) 632-6637

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
23198
NE
207XS0117X
Orthopaedic Surgery of the Spine Physician
35806
MN
207XS0117X
Orthopaedic Surgery of the Spine Physician
41285
CO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
5784A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111303800
WY
01
200041565
RAILROAD MEDICARE
WY
01
308697
BLUE CROSS BLUE SHIELD
WY
Enumeration date
08/30/2006
Last updated
12/28/2010
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