DIANE C. HENSHAW, M.D., P.C.
Osteopathic Medicine at 2 St, Casper, WY

License number
Wyoming 6076A
Category
Osteopathic Medicine
Type
Hematology & Oncology
License number
Wyoming 6076A
Category
Osteopathic Medicine
Type
Medical Oncology
Owner
Name: MRS. DIANE C. HENSHAW M.D.
Title: PRESIDENT
Phone: (307) 235-5433
Address
Address
6501 E 2Nd St, Casper, WY 82609
National Provider ID: 1316119639
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Diane C. Henshaw, M.D., Pc

Casper, WY

Status:
Inactive
Registration:
Nov 19, 2004
Inactive since:
Jan 10, 2012
Addresses:
Diane C Henshaw Md Pc, Casper, WY 82601 (Physical)
300 Country Clb Rd STE 302, Casper, WY 82609 (Mailing)
State ID:
2004-000477522
Business type:
Profit Corporation - Domestic
Expiration:
Perpetual

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