DANIEL SAMELSON

CASPER, WY
NPI1154012656
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WY  219-T2)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-05-16
Last Update Date2024-07-26
Business Address
DANIEL SAMELSON
1522 E A ST
CASPER, WY 82601-2221
Phone number: 307-234-6161
Mailing Address
DANIEL SAMELSON
1522 E A ST
CASPER, WY 82601-2221
Phone number: 307-234-6161