Whalio Doctors

NPI 1356722003

Nathan Valencia Still, DO

Practitioner Internal Medicine Physician Laramie, WY

Practice location

Address
255 N 30th St, Laramie, WY 82072
Phone
(307) 742-2141
Mailing address
255 N 30th St, Laramie, WY 82072-5140

Registered specialties (2)

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 94-08688 (KS)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence TL4374 (WY)

Registry record

NPI
1356722003
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Jun 2015
Record last updated
11 Jul 2018

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.