Individual
DR. BARRY PETERSON WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
424 YELLOWSTONE AVE, SUITE 110, CODY, WY 82414-9318
(307) 587-5538
Mailing address
424 YELLOWSTONE AVE, SUITE 110, CODY, WY 82414-9318
(307) 587-5538
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5652A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110675900
—
WY
01
—
180023255
RAILROAD MEDICARE
WY
01
—
306944
BLUE CROSS BLUE SHIELD
WY
Enumeration date
07/13/2005
Last updated
01/22/2020
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