Organization
UNIVERSITY OF WYOMING
Active
Other names
UW Family Medicine Residency Program
Organization subpart
No
Provider details
NPI number
Authorized official
BETH C ROBITAILLE MD (CMO)
(307) 234-6161
Entity
Organization
Contact information
Practice address
1522 E A ST, CASPER, WY 82601-2217
(307) 233-6161
(307) 234-7032
Mailing address
1522 E A ST, CASPER, WY 82601-2217
(307) 233-6161
(307) 234-7032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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