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Organization

WYOMING SURGICAL ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES ANDERSON M.D. (PRESIDENT)
(307) 577-4220
Entity
Organization

Contact information

Practice address
419 S WASHINGTON ST, SUITE 200, CASPER, WY 82601-2951
(307) 577-4220
(307) 235-0931
Mailing address
419 S WASHINGTON ST, SUITE 200, CASPER, WY 82601-2951
(307) 577-4220
(307) 235-0931

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2086S0129X
Vascular Surgery Physician
208C00000X
Colon & Rectal Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0575126
IA
05
114483900
WY
05
31479839
CO
05
7118060
WA
Enumeration date
09/21/2005
Last updated
07/10/2015
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