Organization
SOUTHEAST WYOMING RADIATION ONCOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY C CARLTON M.D. (PRESIDENT)
(307) 633-7823
Entity
Organization
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 633-7823
(307) 633-7818
Mailing address
1920 EVANS AVE, CHEYENNE, WY 82001-3716
(307) 637-5339
(307) 637-4525
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
11/06/2007
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