Provider First Line Business Practice Location Address:
1320 BISHOP RANDALL DR
Provider Second Line Business Practice Location Address:
DEPARTMENT OF RADIOLOGY
Provider Business Practice Location Address City Name:
LANDER
Provider Business Practice Location Address State Name:
WY
Provider Business Practice Location Address Postal Code:
82520-3939
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
307-335-6251
Provider Business Practice Location Address Fax Number:
307-335-6467
Provider Enumeration Date:
10/23/2008