Individual
ROBERT A RAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 SHERIDAN AVE., CODY, WY 82414
(307) 578-2480
(307) 578-2492
Mailing address
707 SHERIDAN AVE., CODY, WY 82414
(307) 578-2480
(307) 578-2492
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CAPA034
WY
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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