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Individual

DR. RICHARD LEE ENDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 COLLEGE DR, ROCK SPRINGS, WY 82901-5868
(307) 350-8577
(307) 875-8800
Mailing address
105 GRANT CIR, OFFUTT A F B, NE 68113-4041
(402) 294-7345

Taxonomy

Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
22629
NE
2085R0202X
Diagnostic Radiology Physician
Primary
TL3366
WY

Other

Enumeration date
09/30/2005
Last updated
02/17/2016
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