NPI 1164599379

Wyoming Surgical Center MRI

Organisation Diagnostic Radiology Physician Casper, WY

Practice location

Address: 4140 Centennial Hills Blvd #c, Casper, WY 82609-3265
Phone: (307) 472-8781
Fax: (307) 472-8887
Mailing address: 4140 Centennial Hills Blvd #c, Casper, WY 82609

Authorised official

Name: Charles Robertson
Title: Administrator
Phone: (307) 472-8781

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 35-2-904 (WY)

Other Radiology providers in Wyoming →

Registry record

NPI: 1164599379
Entity type: Organization
NPI issued: 30 Nov 2006
Record last updated: 7 Jul 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.