Organization
WYOMING HEART AND VASCULAR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANSOUR KHADDR MD (CARDIOLOGIST/MANAGING MEMBER)
(412) 626-0143
Entity
Organization
Contact information
Practice address
1204 HILLTOP DR STE 106, ROCK SPRINGS, WY 82901-5861
(307) 522-5555
(888) 819-5155
Mailing address
1204 HILLTOP DR STE 106, ROCK SPRINGS, WY 82901-5861
(307) 522-5555
(888) 819-5155
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
03/25/2024
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