Individual
DR. JAY G CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1909 VISTA DR, LARAMIE, WY 82070
(307) 745-8851
(307) 742-0961
Mailing address
1909 VISTA DR, LARAMIE, WY 82070
(307) 745-8851
(307) 742-0961
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6432A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115837600
—
WY
01
—
200040002
RAILROAD MEDICARE
WY
01
—
310530
BCBS
WY
Enumeration date
01/18/2006
Last updated
07/22/2020
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