Whalio Doctors

NPI 1134297310

Sandra Slade Mossbrook, MD

Practitioner General Practice Physician Lander, WY

Practice location

Address
8204 State Highway 789, Lander, WY 82520-2941
Phone
(307) 335-6716
Fax
(307) 335-6991
Mailing address
4251 Valley Green Circle, Riverton, WY 82501-5453

Registered specialties

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 3296A (WY)

Registry record

NPI
1134297310
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Dec 2006
Record last updated
8 Jul 2007

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.