Organization
WILLIAM H. AND CARRIE GOTTSCHE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL SHERO (EXECUTIVE DIRECTOR)
(307) 864-2146
Entity
Organization
Contact information
Practice address
790 LINDSAY LN, CODY, WY 82414
(307) 578-1970
Mailing address
148 E ARAPAHOE ST, THERMOPOLIS, WY 82443-2402
(307) 864-2146
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
1450
WY
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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