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CASPER WY ENDOSCOPY ASC LLC

Surgery Yellow Pages

Casper, Wyoming

Provider NPI: 1962477539

Organization Information:
Organization Name:  CASPER WY ENDOSCOPY ASC LLC


Practice Location:
1441 WILKINS CIR  CASPER, WY 82601 US
Tel: 307-265-1792  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
WY07-125

Other Provider Identifiers:

IssuerNumberStateType
1210408-00WY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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