Whalio Doctors

NPI 1649858721

Matthew Bryce Roberts, DO

Practitioner Family Medicine Physician Thayne, WY

Practice location

Address
122 Petersen Pkwy, Thayne, WY 83127-9755
Phone
(307) 883-5852
Fax
(866) 972-4881
Mailing address
901 Adams St, Afton, WY 83110-9621

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence TL8316 (WY)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1649858721
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Mar 2021
Record last updated
15 Aug 2024

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.