NPI 1184638165

Larry Vengenderen, MD

Practitioner Sports Medicine (Orthopaedic Surgery) Physician Laramie, WY

Practice location

Address: 1909 Vista Dr, Laramie, WY 82070
Phone: (307) 745-8851
Fax: (307) 742-0961

Registered specialties

Sports Medicine (Orthopaedic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence 2300A (WY)

Other Orthopaedic Surgery providers in Wyoming →

Registry record

NPI: 1184638165
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 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.