Organization
INTRAWEST MEDICAL SERVICES, P.C
Active
Other names
Emergency Physicians of Laramie
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD L. CANTWAY M.D. (PRESIDENT)
(307) 745-3169
Entity
Organization
Contact information
Practice address
255 N 30TH ST, EMERGENCY DEPARTMENT, LARAMIE, WY 82072-5140
(307) 742-2142
Mailing address
3908 E GRAND AVE, SUITE 201, LARAMIE, WY 82070-5173
(307) 745-3168
(307) 742-8449
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106757500
—
WY
Enumeration date
07/21/2006
Last updated
10/05/2012
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