Mundy, Gary Duane
Mundy, Gary Duane is an individual health care provider with primary practice located at 1955 Coffeen Ave , Sheridan WY 82801-5713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mundy, Gary Duane can be contacted via phone (307) 673-7560.Contact Information
Primary practice address
1955 Coffeen Ave
Sheridan WY 82801-5713
Phone: (307) 673-7560
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5258A | Wyoming |
Profile Details
| NPI number | 1275567018 |
|---|---|
| LBN Legal business name | Mundy, Gary Duane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275567018 | NPPES |
| Wyoming | MEDICAID | 1003749800 |
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