Organization
RETINA ASSOCIATES OF MID-WYOMING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAM PEDDADA M.D. (OWNER)
(307) 797-2666
Entity
Organization
Contact information
Practice address
307 S JACKSON ST, CASPER, WY 82601-2908
(307) 237-3740
(307) 237-0670
Mailing address
307 S JACKSON ST, CASPER, WY 82601-2908
(307) 237-3740
(307) 237-0670
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/03/2008
Last updated
09/21/2011
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