MARY DONOVAN MORENO

LARAMIE, WY
NPI1548359946
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WY  6594A)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
-- MARY DONOVAN MORENO M.D.
1465 N 4TH ST SUITE 119
LARAMIE, WY 82072-2066
Phone number: 307-721-0700
Mailing Address
-- MARY DONOVAN MORENO M.D.
712 S 24TH ST
LARAMIE, WY 82070-4919
Phone number: 307-755-9737