Organization
ROCKY MOUNTAIN INFECTIOUS DISEASES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY R HASKINS (FINANCIAL MANAGER)
(307) 234-8700
Entity
Organization
Contact information
Practice address
1450 E A ST, STE 1 & 2, CASPER, WY 82601-2239
(307) 234-8700
(307) 234-8750
Mailing address
1450 E A ST, CASPER, WY 82601-2239
(307) 234-8700
(307) 234-8750
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
5197A
WY
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
6725430001
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115259900
—
WY
Enumeration date
11/01/2006
Last updated
03/13/2025
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