Graduated: 2016
NPI: 1558712414
Practice Locations (2)
UNIVERSITY OF WYOMING
2710 HARNEY ST
LARAMIE, WY 820723038
3074315055
UNIVERSITY OF WYOMING
2710 HARNEY ST, SUITE 202 204
LARAMIE, WY 820723038
3074315055
Source: CMS National Downloadable File, September 2026.