NPI 1417048810

Wyoming Reconstructive & Plastic Surgery LLC

Organisation Plastic and Reconstructive Surgery Physician Casper, WY

Practice location

Address: 918 E 2nd St, Casper, WY 82601-2625
Phone: (307) 472-4300
Fax: (307) 472-4311
Mailing address: PO Box 51076, Casper, WY 82605

Authorised official

Name: Nathan Stutte
Title: External Financial Controller
Phone: (307) 577-2767

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X

Other Surgery providers in Wyoming →

Registry record

NPI: 1417048810
Entity type: Organization
NPI issued: 28 Sep 2006
Record last updated: 16 Jan 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.