Individual
MATTHEW ROBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4308 E GRAND AVE, LARAMIE, WY 82070-5508
(307) 745-6112
Mailing address
610 E GARFIELD ST, LARAMIE, WY 82070-3833
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4134
WY
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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