Benjamin Brownell Widener, M.D.
Internal Medicine, Rheumatology in Sheridan, WY. Individual provider (NPI-1).
NPI number1487944484
StatusActive
Last updated in NPPESJan 19, 2023
Details
- NPI
- 1487944484
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Brownell Widener
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2011
- Certification date
- Jan 19, 2023
- Last updated
- Jan 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RR0500X | Internal Medicine, Rheumatology | 10081A | WY | Yes |
| 207R00000X | Internal Medicine | 10081A | WY |
Practice location
1333 W 5th St Ste 203Sheridan, WY 82801-2752
Phone 307-675-4474 · Fax 307-675-4475
Mailing address
1333 W 5th St Ste 110Sheridan, WY 82801-2752
Phone 307-675-4474 · Fax 307-675-4475
Other practice locations
1333 W 5th St Ste 112
Sheridan, WY 82801-2752
Sheridan, WY 82801-2752
Phone 307-675-4474 · Fax 307-675-4475
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