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Contact Information

FREDERICK W CUBIN III, MD
419 S WASHINGTON ST
SUITE 101
CASPER, WY82601-2951
 Phone: 307-265-1620
 Fax: 307-237-1074
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for FREDERICK W CUBIN III · (Male)

NPI Number 1457301004
Status Active
Credentials MD
Entity Individual
Enumeration date 05/12/2006
Last updated 11/20/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WY License # 8400-A
  • WY License # 8400A
Hospital affiliation(s)
  • MEMORIAL HOSPITAL OF CONVERSE COUNTY - (Critical Access)
    111 SOUTH 5TH STREET
    DOUGLAS, WY 82633
  • RIVERTON MEMORIAL HOSPITAL - (Acute Care)
    2100 W SUNSET DR
    RIVERTON, WY 82501
  • WASHAKIE MEDICAL CENTER - (Critical Access)
    400 SOUTH 15TH STREET
    WORLAND, WY 82401
  • WYOMING MEDICAL CENTER - (Acute Care)
    1233 EAST 2ND ST
    CASPER, WY 82601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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