Individual
THOMAS RICHARD HAROLD WITKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
255 N 30TH ST, LARAMIE, WY 82072-5140
(307) 742-2141
Mailing address
16 OXFORD RANCH RD, LARAMIE, WY 82070-6904
(307) 460-8348
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
43443
WY
Other
Enumeration date
06/16/2019
Last updated
06/16/2019
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