LARRY VENGENDEREN

LARAMIE, WY
NPI1184638165
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XX0005X Orthopaedic Surgery Sports Medicine
(Licence: WY  2300A)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
LARRY VENGENDEREN MD
1909 VISTA DR
LARAMIE, WY 82070
Phone number: 307-745-8851
Mailing Address
LARRY VENGENDEREN MD
1909 VISTA DR
LARAMIE, WY 82070
Phone number: 307-745-8851