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Contact Information

WYOMING CANCER SPECIALISTS LLC
400 2ND ST
SUITE D
ROCK SPRINGS, WY82901-6260
 Phone: 307-382-5116
 Fax: 307-382-5118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WYOMING CANCER SPECIALISTS LLC · (Female)

NPI # 1003952821
Status Active
Credentials
Entity Individual
Enumeration date 01/29/2007
Last updated 11/06/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY License # 6639A
  • WY Medicaid 122649500
  • WY Other 05922001 BCBS
Hospital affiliation(s) Not Available
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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