Individual
DR. TRAVIS FALLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2625 E 2ND ST, CASPER, WY 82609-2045
(307) 234-7159
(307) 237-0971
Mailing address
2625 E 2ND ST, CASPER, WY 82609-2045
(307) 234-7159
(307) 237-0971
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3020
WY
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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