Mr. BILLY BURKE STANGE -- MLT
Individual Provider (NPI-1)
Active
Clinical Medical Laboratory
Provider Information
- NPI Number
1902137862- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MLT
- Status
- Active
Contact & Location
- Address
- 125 DILLON DR APT 104, LANDER, WY, 825202938
- Phone
- (575) 937-5752
Specialties & Taxonomies
Clinical Medical Laboratory
Primary License: NM #93339