NPI 1093961179

Stanford T Israelsen, MD

Practitioner Orthopaedic Surgery Physician Gillette, WY

Practice location

Address: 508 Stocktrail Ave Suite a, Gillette, WY 82716-3582
Phone: (307) 686-1413

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 9750A (WY)

Other Orthopaedic Surgery providers in Wyoming →

Registry record

NPI: 1093961179
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Aug 2008
Record last updated: 13 Aug 2014

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.