Individual
DR. JEFFREY C CARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 633-7823
(307) 633-7818
Mailing address
1920 EVANS AVE, CHEYENNE, WY 82001-3716
(307) 637-5339
(307) 637-4525
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
5473A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
307462
BLUE CROSS BLUE SHIELD
WY
Enumeration date
09/21/2006
Last updated
11/08/2007
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