Individual
DR. MARK SCOTT CARDINAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29 BLACK COAL DR, FORT WASHAKIE, WY 82514-0128
(307) 332-7300
Mailing address
29 BLACK COAL DR, FORT WASHAKIE, WY 82514-0128
(307) 332-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6899A
WY
Other
Enumeration date
11/21/2006
Last updated
11/17/2011
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