Organization
WYOMING ENDOCRINE & DIABETES CLINIC LLC
Active
Parent organization
WYOMING MEDICAL CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WYOMING MEDICAL CENTER, INC.
Authorized official
MR. NATHAN STUTTE (EXTERNAL FINANCIAL CONTROLLER)
(307) 577-2767
Entity
Organization
Contact information
Practice address
940 E 3RD ST, SUITE 211, CASPER, WY 82601-3237
(307) 237-8400
(307) 233-0290
Mailing address
PO BOX 51106, CASPER, WY 82605
(307) 237-8400
(307) 233-0290
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06060001
BLUE CROSS BLUE SHIELD
WY
01
—
DF9300
RAILROAD MEDICARE
WY
Enumeration date
09/28/2006
Last updated
01/16/2008
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