Individual
ALEXANDER G. CIANFLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-1107
Mailing address
PO BOX 2570, CODY, WY 82414-2570
(719) 369-3357
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5280A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01226752
—
CO
05
—
1902889280
—
WY
01
—
314534
BSWY
WY
Enumeration date
11/21/2005
Last updated
08/03/2013
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