Individual provider · NPI-1

Dr. Richard Jay Capener, D.O.

Family Medicine · Evanston, WY

NPI number1225327000
StatusActive
Last updated in NPPESSep 25, 2019

Details

NPI
1225327000
Entity type
Individual (NPI-1)
Name
Dr. Richard Jay Capener
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 1, 2011
Last updated
Sep 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine02991WYYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

196 Arrowhead Dr Ste 1
Evanston, WY 82930

Phone 307-783-8136 · Fax 307-783-8254

Mailing address

196 Arrowhead Dr Ste 1
Evanston, WY 82930-8752

Phone 077-838-1363 · Fax 307-783-8254

Other practice locations

600 Roe Ave
Elmira, NY 14905-1629

Phone 607-795-8035

196 Arrowhead Dr Ste 1
Evanston, WY 82930

Phone 307-783-8136 · Fax 307-783-8254

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