Individual
DR. HANS C KIOSCHOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
508 STOCKTRAIL AVE, SUITE A, GILLETTE, WY 82716-3582
(307) 686-1413
(307) 682-1113
Mailing address
508 STOCKTRAIL AVE, SUITE A, GILLETTE, WY 82716-3582
(307) 686-1413
(307) 682-1113
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5999A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740274265
—
WY
01
—
304136
BCBS
WY
Enumeration date
09/12/2005
Last updated
11/01/2007
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