Individual
MR. MARK ALAN COURTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PROVIDER
Contact information
Practice address
2508 CENTRAL AVE, CODY, WY 82414-9797
(307) 527-4616
Mailing address
PO BOX 2081, CODY, WY 82414-2081
(307) 527-4616
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
WY
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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