Individual
DR. DENNIS S YUTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-7336
(307) 358-9216
Mailing address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-7336
(307) 358-9216
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
6333A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308417
BLUE CROSS BLUE SHIELD
WY
Enumeration date
09/03/2006
Last updated
07/09/2007
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