Individual
STEPHAN N TRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1522 E A ST, CASPER, WY 82601-2217
(307) 233-6000
(307) 473-1284
Mailing address
1522 E A ST, CASPER, WY 82601-2217
(307) 233-6000
(307) 473-1284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6669A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1172816-00
—
WY
Enumeration date
06/14/2006
Last updated
04/09/2012
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