Organization
VALLEY XRAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD HENRY GUEAR RT (RADIOLOGY TECH)
(307) 883-9729
Entity
Organization
Contact information
Practice address
124 PETERSEN PARKWAY, 124 PETERSEN PARKWAY SUITE 2, THAYNE, WY 83127
(307) 883-9729
Mailing address
PO BOX 135 FAIRVIEW WYOMING 83119, 124 PETERSEN PARKWAY SUITE 2, THAYNE, WY 83127
(307) 883-9729
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
GN025022
WY
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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