Organization
WILSON GYNECOLOGY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER M BRECHEEN M.D. (PRESIDENT)
(307) 733-5676
Entity
Organization
Contact information
Practice address
5235 HHR ROAD, WILSON, WY 83014
(307) 733-5676
Mailing address
PO BOX 243, WILSON, WY 83014-0243
(307) 733-5676
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
5262A
WY
207VX0000X
Obstetrics Physician
5262A
WY
Other
Enumeration date
01/16/2008
Last updated
03/19/2008
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