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Individual

DR. DAVID FELIX SOWADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
413 AGATE ST, ROCK SPRINGS, WY 82901-6704
(307) 382-0614
(307) 382-0614
Mailing address
413 AGATE ST, ROCK SPRINGS, WY 82901-6704
(307) 382-0614
(307) 382-0614

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2529A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
304685
BLUE CROSS & BLUE SHIELD
WY
Enumeration date
09/14/2005
Last updated
07/08/2007
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