Individual
DR. CHARLIE ANNE ECHEVERRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3510 N LAKE CREEK DR, WILSON, WY 83014-9695
(307) 365-6825
(307) 459-0069
Mailing address
PO BOX 1565, JACKSON, WY 83001-1565
(307) 365-6825
(307) 459-0069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60975308
WA
Other
Enumeration date
05/15/2017
Last updated
05/09/2023
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