Individual
DARLENE LUCY KOZLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 BLACK COAL DRIVE, FORT WASHAKIE, WY 82514
(307) 332-7300
Mailing address
29 BLACK COAL DRIVE, FORT WASHAKIE, WY 82514
(307) 332-7300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
403550
PA
2085R0202X
Diagnostic Radiology Physician
403550
WY
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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