| Provider Type: |
Other Service Providers |
| Provider Classification: |
Specialist |
| Definition of Specialization: |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
|
| Address: |
5820 E.2nd St.
Casper, WY 82609-4308 |
| Phone: |
(307) 234-9037 |
| Fax: |
(307) 234-9042 |
| Authorized Official: |
Dr. Santiago, Angelo M., M.D. |
| Authorized Official Position: |
Owner |
| Authorized Official Phone: |
(307) 234-9037 |
