Individual
TIFFANY JANAE SPAULDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1522 E A ST, CASPER, WY 82601-2217
(307) 233-6000
(307) 265-0841
Mailing address
1522 E A ST, CASPER, WY 82601-2217
(307) 233-6000
(307) 265-0841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TL#1206
WY
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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