Organization
WESTERN WYOMING PATHOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
A FRANCI TRYKA (MD)
(307) 733-6418
Entity
Organization
Contact information
Practice address
625 E BROADWAY, JACKSON, WY 83001
(307) 733-6418
Mailing address
PO BOX 3789, JACKSON, WY 83001-3789
(307) 733-6418
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
6461A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115921600
—
WY
05
—
805888600
—
ID
Enumeration date
11/09/2006
Last updated
03/09/2011
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