Timothy B Hudson Md Pc | |
2417 East 15th Street Casper WY 82609 | |
(307) 237-1702 | |
(307) 472-2259 |
Full Name | Timothy B Hudson Md Pc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2417 East 15th Street, Casper, Wyoming |
Authorized Official Name and Position | Timothy Bartlett Hudson (PRESIDENT) |
Authorized Official Contact | 3072371702 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Timothy B Hudson Md Pc 2417 East 15th Street Casper WY 82609 Ph: (307) 237-1702 | Timothy B Hudson Md Pc 2417 East 15th Street Casper WY 82609 Ph: (307) 237-1702 |
NPI Number | 1366528507 |
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Provider Enumeration Date | 10/31/2006 |
Last Update Date | 09/14/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366528507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 7106A (Wyoming) | Primary |
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