| Doctor Name: | MICHAEL W PRYOR |
| NPI Number: | 1629179247 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0518540001 |
| Business Practice Address: | 815 E Main St Lander, WY - 825203491 |
| Business Phone Number: | 3073329720 |
| Business Fax Number: | 3073328206 |
| Mailing Address: | 815 E Main St, LANDER |
| State: | WY |
| Postal Code: | 825203491 |
| Phone Number: | 3073329720 |
| Fax Number: | 3073328206 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 01/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 0518540001 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |