Organization · Type 2 NPI

Gillette Medical Imaging P.c.

Diagnostic Radiology Physician · Gillette, WY

NPI number 1407956246 Active

Practice location

501 S Burma Ave
Gillette, WY 82716-3426

Fax (307) 687-7243

Mailing address

PO Box 638
Gillette, WY 82717-0638

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1407956246

Gillette Medical Imaging P.c.'s National Provider Identifier is 1407956246, issued on Sep 22, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Gillette, WY. The record was last updated on Mar 29, 2011.