Individual
DR. WAYNE LEE WARREN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
419 S WASHINGTON ST STE 201, CASPER, WY 82601-2951
(307) 233-0250
(307) 237-5421
Mailing address
419 S WASHINGTON ST, STE 201, CASPER, WY 82601-2951
(334) 821-0466
(334) 821-4682
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
10439A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W2600
PTAN
WY
Enumeration date
08/25/2006
Last updated
06/01/2016
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