Individual
DR. ALBERT R WHEELER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 E BROADWAY, JACKSON, WY 83001-0428
(307) 733-3636
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 733-3636
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
7196A
WY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
7196A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121880800
—
WY
Enumeration date
08/17/2006
Last updated
02/19/2021
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