Individual
FAITH A DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 COLLEGE DR, ROCK SPRINGS, WY 82901-5868
(307) 362-3711
Mailing address
PO BOX 3255, ROCK SPRINGS, WY 82902-3255
(307) 352-8549
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101236694
VA
207P00000X
Emergency Medicine Physician
Primary
7723A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010100968
—
VA
Enumeration date
10/25/2005
Last updated
11/22/2021
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