DR. STANFORD B TRACHTENBERG, M.D.
Radiology at Lake Creek Dr, Wilson, WY

License number
Wyoming 5033A
Category
Radiology
Type
Diagnostic Radiology
Address
Address 2
3680 Lake Creek Dr, Wilson, WY 83014
PO Box 344, Jackson, WY 83025
Phone
(307) 733-3642
National Provider ID: 1619287414
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about STANFORD B TRACHTENBERG at bizstanding.com

STANFORD B. TRACHTENBERG, M.D., A MEDICAL CORPORATION

3680 Lk Crk Dr (At The Aspens), Jackson, WY 83001

Status:
Inactive
Registration:
Jan 30, 1981
State ID:
C1035526
Entity State:
CA
Agent:
David Patterson,Inglewood, CA 90301 (Physical)

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