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Dr. Laurence William Vale Deboer, MD
Cardiovascular Disease Physician in Gillette, Wyoming
NPI 1043315872

Laurence William Vale Deboer is a Cardiovascular Disease Physician based in Gillette, WY and is specialized in Cardiovascular Disease. Laurence William Vale Deboer practices in Gillette, WY and has the professional credentials of MD. The NPI Number for Laurence William Vale Deboer is 1043315872 and holds a License No. 5853A (Wyoming).

The current practice location address for Laurence William Vale Deboer is 430 Medical Arts Ct., Gillette, WY and can be reached out via phone at 307-682-7661 and via fax at 307-682-7624.

Location: 430 Medical Arts Ct., Gillette, WY, 82716
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Provider Profile Details
NPI Number
1043315872
Provider Name
Laurence William Vale Deboer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
430 Medical Arts Ct., Gillette, WY, 82716
Phone Number
307-682-7661
Fax Number
307-682-7624
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
638 01 MEDICAL LICENSE
53D925429 01 WY CLIA
303946 01 WY BLUE CROSS
5853A 01 WY STATE LICENSE
00783001 01 WY BLUE CROSS GROUP NUMBER
7088727 05 WY
8380925 05 WA
institution
Provider Business Practice Location Address Details
Address
430 Medical Arts Ct.
City
State
Zip
82716
Phone Number
307-682-7661
Fax Number
307-682-7624
person
Provider Business Mailing Address Details
Address
430 Medical Arts Ct.
City
State
Zip
82716
Phone Number
307-682-7661
Fax Number
307-682-7624
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
5853A (Wyoming)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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