STANFORD B TRACHTENBERG

WILSON, WY
NPI1619287414
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: WY  5033A)
Enumeration Date2010-10-14
Last Update Date2010-10-14
Business Address
Dr. STANFORD B TRACHTENBERG m.d.
3680 LAKE CREEK DRIVE
WILSON, WY 83014
Phone number: 307-733-3642
Mailing Address
Dr. STANFORD B TRACHTENBERG m.d.
PO BOX 344
TETON VILLAGE, WY 83025-0344
Phone number: 307-733-3642