UROLOGY CARE CLINIC, P.C.
Urology at 19 St, Cheyenne, WY

License number
Wyoming 5500A
Category
Radiology
Type
Urology
Owner
Name: MS. EDITH DIANE WILSON M.D.
Title: OWNER
Phone: (307) 632-3111
Address
Address
433 E 19Th St, Cheyenne, WY 82001
National Provider ID: 1780754317
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about UROLOGY CARE CLINIC, P.C. at bizstanding.com

Urology Care Clinic, PC

Cheyenne, WY

Status:
Inactive
Industry:
Health Practitioner's Office
Registration:
Apr 24, 2001
Inactive since:
Jun 10, 2011
Addresses:
C/O Mcgee, Cheyenne, WY 82003 (Physical)
606 Vis Ln, Cheyenne, WY 82009 (Mailing)
State ID:
2001-000420003
Business type:
Profit Corporation - Domestic
Expiration:
Perpetual
Assistants:
Edith D. Wilson (President),Cindy Pomroy Assistant, inactive

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