Organization
WYOMING CARDIOPULMONARY SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A NOVICK M.D. (MANAGING PARTNER)
(307) 266-3174
Entity
Organization
Contact information
Practice address
1230 E 1ST ST, CASPER, WY 82601-2704
(307) 266-3174
(307) 261-6713
Mailing address
1230 E 1ST ST, CASPER, WY 82601-2704
(307) 266-3174
(307) 261-6713
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00780001
BCBS GROUP ID
WY
05
—
106386300
—
WY
Enumeration date
12/13/2006
Last updated
06/04/2008
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