Thomas E Spicer, MD | |
1208 Hilltop Dr, Suite 103, Rock Springs, WY 82901-5857 | |
(307) 362-8211 | |
(307) 382-3451 |
Full Name | Thomas E Spicer |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 1208 Hilltop Dr, Rock Springs, Wyoming |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821171349 | NPI | - | NPPES |
103963600 | Medicaid | WY | |
W308597 | Other | WY | MEDICARE PROVIDER NUMBER |
W308596 | Other | WY | KRIS SHERWIN PA-C MEDICAR |
240000693 | Other | WY | RAILROAD MEDICARE GROUP MEMBER PTAN |
830274490 | Other | WY | TAX ID # |
DN9829 | Other | WY | RAILROAD MEDICARE GROUP PTAN |
W308595 | Other | WY | MEDICARE GROUP |
240000693 | Other | WY | RAILROAD MEDICARE |
1033342563 | Other | WY | AMBULATORY SURGERY CENTER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 2513A (Wyoming) | Primary |
Mailing Address | Practice Location Address |
---|---|
Thomas E Spicer, MD 1208 Hilltop Dr, Suite 103, Rock Springs, WY 82901-5857 Ph: (307) 362-8211 | Thomas E Spicer, MD 1208 Hilltop Dr, Suite 103, Rock Springs, WY 82901-5857 Ph: (307) 362-8211 |
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