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Digestive Care Specialists, LLC

Internal Medicine, Gastroenterology in Casper, WY. Organization (NPI-2).

NPI number1336799121
StatusActive
Last updated in NPPESApr 6, 2020

Details

NPI
1336799121
Entity type
Organization (NPI-2)
Legal business name
Digestive Care Specialists, LLC
Organization subpart
No
Enumeration date
Sep 13, 2019
Certification date
Apr 6, 2020
Last updated
Apr 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology––Yes

Practice location

1026 E 2nd St
Casper, WY 82601-2902

Phone 307-333-0002 · Fax 307-333-4425

Mailing address

Po Box 51670
Casper, WY 82605-1670

Phone 307-315-7995 · Fax 307-333-4425

Authorized official

Jeffrey W Cloud
Owner
3073157995

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