Organization
WYOMING IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY G SMITH MD (MEDICAL DIRECTOR)
(307) 577-1003
Entity
Organization
Contact information
Practice address
231 S WASHINGTON ST, CASPER, WY 82601-2948
(307) 577-1003
(307) 577-0072
Mailing address
231 S WASHINGTON ST, CASPER, WY 82601-2948
(307) 577-1003
(307) 577-0072
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302525
BCBS
WY
Enumeration date
10/10/2006
Last updated
03/18/2008
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