Organization
WYOMING RADIOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT STEARS M.D. (OWNER)
(307) 673-9729
Entity
Organization
Contact information
Practice address
227 S MAIN ST, SHERIDAN, WY 82801-4832
(307) 673-9729
Mailing address
227 S MAIN ST, SHERIDAN, WY 82801-4832
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01283001
BLUE CROSS BLUE SHIELD
WY
Enumeration date
11/03/2006
Last updated
08/22/2020
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