BIG HORN UROLOGY PC
Urology at Dow St, Sheridan, WY

License number
Wyoming 5434A
Category
Radiology
Type
Urology
License number
Wyoming 2157
Category
Radiology
Type
Urology
Owner
Name: DR. STEPHEN WILSON HOLST MD
Title: PRESIDENT BIG HORN UROLOGY PC
Phone: (307) 672-1806
Address
Address
340 WEST Dow St, Sheridan, WY 82801
National Provider ID: 1043379472
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Big Horn Urology, PC

Sheridan, WY

Industry:
Medical Doctor's Office
Registration:
Mar 10, 1994
Phone:
(307) 672-1806 (Phone)
Addresses:
Sheridan, WY 82801 (Physical)
340 W Dow St, Sheridan, WY 82801
State ID:
1994-000289307
Business type:
Profit Corporation - Domestic
Expiration:
Perpetual
Office Managers:
Stephen Holst (Owner, Medical Doctor),Madonna L. Jackson (Nurse, Registered Nurse),Debra Ann Kawulok (Fnp-c),...

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