SWEETWATER UROLOGY
Organization (NPI-2)
Active
Urology
Provider Information
- NPI Number
1629385786- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1208 HILLTOP DR SUITE 204, ROCK SPRINGS, WY, 829015859
- Phone
- (307) 362-4200
- Fax
- (307) 362-5406
Specialties & Taxonomies
Urology
License: UT #166834-1025
Urology
License: CA #G42452
Physician Assistant
License: WY #WY192
Urology
Primary License: WY #3547A