Organization
WYOMING EYE SURGEONS
Active
Organization
WYOMING EYE SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAIRN MICHAEL WALKER MD (OWNER)
(559) 246-8254
Entity
Organization
Contact information
Practice address
36 N. GOULD ST., SUITE 2A, SHERIDAN, WY 82801
(559) 246-8254
Mailing address
23 MOONLIGHT DR, SHERIDAN, WY 82801-8627
(559) 246-8254
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00984070
—
CA
Enumeration date
09/20/2018
Last updated
10/31/2019
Update your record
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