Organization
UROLOGICAL SERVICES OF NORTHERN WYOMING PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY S STEWART M.D. (OWNER)
(307) 587-5131
Entity
Organization
Contact information
Practice address
225 W YELLOWSTONE AVE, SUITE #9, CODY, WY 82414-8702
(307) 587-5131
(307) 587-5132
Mailing address
225 W YELLOWSTONE AVE, CODY, WY 82414-8702
(307) 587-5131
(307) 587-5132
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
7308A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122121300
—
WY
01
—
314014
BLUE CROSS BLUE SHIELD
WY
01
—
611975900
FEDERAL WORK COMP
—
01
—
DF1105
RAILROAD MEDICARE
—
Enumeration date
02/24/2006
Last updated
04/26/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us