Whalio Doctors

NPI 1104062314

Equality State Infection Foundation

Organisation Infectious Disease Physician Casper, WY

Practice location

Address
5810 E 2nd St STE 200, Casper, WY 82609-4330
Phone
(307) 234-8710
Fax
(307) 237-0326

Authorised official

Name
Lisa Marie Willette
Title
Coo, Cfo
Phone
(307) 234-8710

Registered specialties (5)

Infectious Disease Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207RI0200X
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X
Registered Dietitian
Dietary & Nutritional Service Providers Taxonomy 133V00000X
Case Management Registered Nurse
Nursing Service Providers Taxonomy 163WC0400X
Early Intervention Provider Agency
Agencies Taxonomy 252Y00000X

Registry record

NPI
1104062314
Entity type
Organization
NPI issued
18 Dec 2008
Record last updated
18 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.