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Dr. Stanford B Trachtenberg, MD
Diagnostic Radiology Physician in Wilson, Wyoming
NPI 1619287414

Stanford B Trachtenberg is a Diagnostic Radiology Physician based in Teton Village, WY and is specialized in Diagnostic Radiology. Stanford B Trachtenberg practices in Wilson, WY and has the professional credentials of MD. The NPI Number for Stanford B Trachtenberg is 1619287414 and holds a License No. 5033A (Wyoming).

The current practice location address for Stanford B Trachtenberg is 3680 Lake Creek Drive, Wilson, WY and can be reached out via phone at 307-733-3642.

Location: 3680 Lake Creek Drive, Wilson, WY, 83025-0344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619287414
Provider Name
Stanford B Trachtenberg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3680 Lake Creek Drive, Wilson, WY, 83025-0344
Phone Number
307-733-3642
Fax Number
Provider Enumeration Date
10/14/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3680 Lake Creek Drive
City
Wilson
State
Wyoming
Zip
83014
Phone Number
307-733-3642
Fax Number
person
Provider Business Mailing Address Details
Address
3680 Lake Creek Drive
City
Wilson
State
Wyoming
Zip
83014
Phone Number
307-733-3642
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
5033A (Wyoming)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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