Individual
DR. TARRA LOUISA DEITER-ENRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
424 YELLOWSTONE AVE STE 230, CODY, WY 82414-9310
(307) 578-2975
(307) 578-2979
Mailing address
424 YELLOWSTONE AVE STE 230, CODY, WY 82414-9310
(307) 578-2975
(307) 578-2979
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14504A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215506100
—
WY
01
—
271559YK1C
MEDICARE PTAN FOR SOUND FOR CENTURA
CO
05
—
50734555
—
CO
Enumeration date
10/02/2007
Last updated
05/14/2024
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