Organization
CENTRAL WYOMING EYE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD EUGENE GIBSON M.D. (PRESIDENT)
(307) 235-4185
Entity
Organization
Contact information
Practice address
1705 E 12TH ST, CASPER, WY 82601-4038
(307) 235-4185
(307) 235-4127
Mailing address
1705 E 12TH ST, CASPER, WY 82601-4038
(307) 235-4185
(307) 235-4127
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2007
Last updated
11/04/2010
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