institution
Wyoming Reconstructive & Plastic Surgery Llc
Plastic and Reconstructive Surgery Physician in Casper, Wyoming
NPI 1417048810

Wyoming Reconstructive & Plastic Surgery Llc is a Plastic and Reconstructive Surgery Physician based in Casper, WY and is specialized in Plastic and Reconstructive Surgery. Wyoming Reconstructive & Plastic Surgery Llc practices in Casper, WY. The NPI Number for Wyoming Reconstructive & Plastic Surgery Llc is 1417048810 and holds a License No. (Wyoming).

The current practice location address for Wyoming Reconstructive & Plastic Surgery Llc is 918 E 2Nd St, Casper, WY and can be reached out via phone at 307-472-4300 and via fax at 307-472-4311.

Location: 918 E 2Nd St, Casper, WY, 82605
institution
Provider Profile Details
NPI Number
1417048810
Provider Name
Wyoming Reconstructive & Plastic Surgery Llc
Credential
Provider Entity Type
Organization
Address
918 E 2Nd St, Casper, WY, 82605
Phone Number
307-472-4300
Fax Number
307-472-4311
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06059001 01 WY BLUE CROSS BLUE SHIELD
DF9302 01 WY RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
918 E 2Nd St
City
State
Zip
82601-2625
Phone Number
307-472-4300
Fax Number
307-472-4311
person
Provider Business Mailing Address Details
Address
918 E 2Nd St
City
State
Zip
82601-2625
Phone Number
307-472-4300
Fax Number
307-472-4311
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
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Definition
A surgeon who specializes in plastic and reconstructive surgery.
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