Individual
ANTHONY SCOVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1780 WESTLAND RD, CHEYENNE, WY 82001-3322
(307) 771-2809
(307) 638-0467
Mailing address
5005 ATLANTIC DR, CHEYENNE, WY 82001-6975
(307) 638-1707
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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