Organization
WYOMING PSYCHIATRY, LLC
Active
Organization
WYOMING PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MARTORANO M.D. (PSYCHIATRY)
(307) 215-9870
Entity
Organization
Contact information
Practice address
301 S FENWAY ST, SUITE 201, CASPER, WY 82601-3051
(307) 215-9870
(307) 333-0389
Mailing address
301 S FENWAY ST STE 201, CASPER, WY 82601-3053
(307) 215-9870
(307) 333-0389
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
9017A
WY
2084P0800X
Psychiatry Physician
Primary
9017A
WY
2084P0802X
Addiction Psychiatry Physician
9017A
WY
208VP0000X
Pain Medicine Physician
9017A
WY
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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