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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

NPI Number 1003952821
LBN Legal business name WYOMING CANCER SPECIALISTS LLC
Authorized official KEITH MILLS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2007
Last updated 11/06/2008 - About 18 years ago
Identifiers
WY License # 6639A
WY Medicaid 122649500
WY Other 05922001 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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