Individual
KETURA TALBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3632 AMERICAN WAY, CASPER, WY 82604
(307) 234-6765
(307) 234-6998
Mailing address
3632 AMERICAN WAY, CASPER, WY 82604
(307) 234-6765
(307) 234-6998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9893A
WY
Other
Enumeration date
07/05/2011
Last updated
11/21/2016
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