Individual
DR. GEORGE ALLEN OBSSUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4308 EAST GRAND AVENUE, LAAMIE, WY 82070-5508
(307) 755-0248
(307) 755-0276
Mailing address
POST OFFICE BOX 1452, LARAMIE, WY 82073-1452
(307) 742-0674
(307) 742-4498
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
213T
WY
152W00000X
Optometrist
99154399
CO
Other
Enumeration date
10/02/2006
Last updated
07/09/2007
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