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WYOMING CANCER SPECIALISTS LLC NPI 1003952821


NPI Information

NPI: 1003952821
Provider Name: WYOMING CANCER SPECIALISTS LLC
Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

Address:
400 2ND ST
SUITE D
ROCK SPRINGS, WY
ZIP 82901
Phone: (307) 382-5116
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WYOMING CANCER SPECIALISTS LLC is a medical oncology internal medicine in Rock Springs, WY. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. WYOMING CANCER SPECIALISTS LLC NPI is 1003952821. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 2ND ST
SUITE D
ROCK SPRINGS, WY
ZIP 82901-260
Phone: (307) 382-5116
Fax: (307) 382-5118

The provider's authorized official is Keith R Mills .
The authorized official title is Owner and has the following contact phone number (307) 382-5116.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 11/6/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RX0202XInternal MedicineMedical Oncology6639AWYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1122649500MEDICAIDWYOMING
205922001OTHERWYOMINGBCBS
3B35055MEDICARE UPINWYOMING
420496MEDICARE ID-TYPE UNSPECIFIEDWYOMINGGROUP NUMBER

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: 11/14/2023

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