WESTERN AMBULATORY SURGERY LLC
Ambulatory Health at Wilkins Cir, Casper, WY

License number
Wyoming 06-188
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. MATTHEW TAYLOR DODDS M.D
Title: OWNER
Phone: (307) 237-2511
Address
Address
1421 Wilkins Cir, Casper, WY 82601
National Provider ID: 1447293113
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WESTERN AMBULATORY SURGERY, LLC

Casper, WY

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
May 25, 2007
Addresses:
1421 Wilkins Cir, Casper, WY 82601 (Physical)
300 Country Clb Rd STE 302, Casper, WY 82609 (Mailing)
State ID:
2007-000538452
Business type:
Limited Liability Company - Domestic
Expiration:
Expires - 50 years-05/25/2057

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