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WILSON GYNECOLOGY CARE PC NPI 1619153038


NPI Information

NPI: 1619153038
Provider Name: WILSON GYNECOLOGY CARE PC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
5235 HHR ROAD
WILSON, WY
ZIP 83014
Phone: (307) 733-5676
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WILSON GYNECOLOGY CARE PC is a gynecology obstetrics gynecology in Wilson, WY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee WILSON GYNECOLOGY CARE PC NPI is 1619153038. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5235 HHR ROAD
WILSON, WY
ZIP 83014
Phone: (307) 733-5676

The provider's authorized official is Roger M Brecheen .
The authorized official title is President and has the following contact phone number (307) 733-5676.

The enumeration date for this NPI number is 1/16/2008 and was last updated on 3/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VX0000XObstetrics & GynecologyObstetrics5262AWYOMINGNo
2207VG0400XObstetrics & GynecologyGynecology5262AWYOMINGYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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