Graduated: 2019
NPI: 1013573575
Practice Locations (2)
BANNER HEALTH PHYSICIANS WEST LLC
1020 E 2ND ST, SUITE 201
CASPER, WY 826012955
3072330250
WYOMING SURGICAL ASSOCIATES PC
419 S WASHINGTON ST, SUITE 200
CASPER, WY 826012951
3075774220
Source: CMS National Downloadable File, September 2026.