Individual
MR. ARCHIE P KIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
514 IDAHO DR, MEDICINE BOW, WY 82329-0037
(307) 379-2222
(307) 379-2223
Mailing address
PO BOX 37, 514 IDAHO DR, MEDICINE BOW, WY 82329-0037
(307) 379-2222
(307) 379-2223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2106A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166
BCBS
WY
Enumeration date
11/01/2006
Last updated
07/08/2007
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