Whalio Doctors

NPI 1780754317

Urology Care Clinic, P.C.

Organisation Urology Physician Cheyenne, WY

Practice location

Address
433 E 19th St, Cheyenne, WY 82001-4643
Phone
(307) 632-3111
Fax
(307) 778-8649

Authorised official

Name
Edith Diane Wilson
Title
Owner
Phone
(307) 632-3111

Registered specialties

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 5500A (WY)

Registry record

NPI
1780754317
Entity type
Organization
NPI issued
9 Nov 2006
Record last updated
22 Aug 2020

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.