NPI 1134297310 SANDRA SLADE MOSSBROOK MD RIVERTON WY. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Sandra Slade Mossbrook - NPI: 1134297310

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: SANDRA SLADE MOSSBROOK
NPI Number: 1134297310
Entity Type Code: Individual (1)
Gender: F
Credentials: MD
License Number: 3296A
Business Practice Address: 8204 State Highway 789
Lander, WY - 825202941
Business Phone Number: 3073356716
Business Fax Number: 3073356991
Mailing Address: 4251 Valley Green Circle,
RIVERTON
State: WY
Postal Code: 825015453
Phone Number: 3078565600
Fax Number:
NPI Enumeration Date: 12/04/2006
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208D00000X
License Number: 3296A
Healthcare Provider Taxonomy:
(Secondary)
Y
State: WY
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: General Practice
Taxonomy Specialization:
Taxonomy Definition:


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