Individual
JOSEPH HALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 632-3559
Mailing address
1920 EVANS AVE, CHEYENNE, WY 82001-3716
(307) 635-4255
(307) 637-4525
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2400A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1241109 00
—
WY
05
—
83022108300
—
NE
Enumeration date
09/03/2006
Last updated
11/10/2014
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