DANA RAY IDEEN

CASPER, WY
NPI1558375477
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WY  3742A)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
-- DANA RAY IDEEN M.D.
1315 E A ST
CASPER, WY 82601-2212
Phone number: 307-235-8552
Mailing Address
-- DANA RAY IDEEN M.D.
1315 E A ST
CASPER, WY 82601-2212
Phone number: 307-235-8552
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