GEOFFREY B TAYLOR DO CORP
Anesthesiologist Assistant at 2 St, Casper, WY

License number
Wyoming TL2422
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: DR. GEOFFREY TAYLOR D.O.
Title: PRESIDENT
Phone: (406) 750-0743
Address
Address
6550 E 2Nd St, Casper, WY 82609
National Provider ID: 1184046849
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Geoffrey B Taylor DO Corporation

Casper, WY

Registration:
Dec 31, 2013
Addresses:
6550 E 2 St, Casper, WY 82609 (Physical)
1321 Newport, Casper, WY 82609 (Mailing)
State ID:
2013-000656434
Business type:
Profit Corporation - Domestic
Expiration:
Perpetual

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