Individual
DR. JEAN M ALLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
255 N. 30TH ST, ADULT & GERIATRIC MEDICAL SPECIALTIES, LARAMIE, WY 82072
(307) 742-6319
(307) 742-6346
Mailing address
255 N. 30TH ST, ADULT & GERIATRIC MEDICAL SPECIALTIES, LARAMIE, WY 82072
(307) 742-6319
(307) 742-6346
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5125A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1039695 00
—
WY
Enumeration date
08/02/2005
Last updated
01/17/2013
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