Shoshone Tribe
Specialty details in registry · Fort Washakie, WY
At a glance
11 Shipton Lane, Fort Washakie, WY 82514
NPPES record updated Apr 24, 2008. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
11 Shipton LaneFort Washakie, WY 82514
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QE0700X
- Enumeration date
- Feb 6, 2007
- Record updated
- Apr 24, 2008
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
261QE0700X · Primary
License reported: 07-177 WY
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
11 Shipton LaneFort Washakie, WY 82514
- Phone
- (307) 332-2998
- Fax
- (307) 332-4955
Mailing address
PO BOX 998FORT WASHAKIE, WY 825140998
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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