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Individual

DR. FREDERICK W CUBIN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
419 S WASHINGTON ST, SUITE 101, CASPER, WY 82601-2951
(307) 265-1620
(307) 237-1074
Mailing address
419 S WASHINGTON ST, SUITE 101, CASPER, WY 82601-2951
(307) 265-1620
(307) 237-1074

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
8400A
WY
2085R0204X
Vascular & Interventional Radiology Physician
8400-A
WY

Other

Enumeration date
05/12/2006
Last updated
11/20/2023
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