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NPI Code Detail

MEDICARE: UNIVERSITY OF WYOMING

MEDICARE: UNIVERSITY OF WYOMING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory
2207Q00000XFamily Medicine PhysicianWY
3261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1558657650
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF WYOMING
Provider Business Mailing Address
First Line : 1522 E A ST
Second Line :
City : CASPER
State : WY
Zip : 82601-2217
Country : US
Telephone Number : 307-234-6161
Fax Number : 307-473-1824
Provider Business Practice Location Address
First Line : 1522 E A ST
Second Line :
City : CASPER
State : WY
Zip : 82601-2217
Country : US
Telephone Number : 307-234-6161
Fax Number : 307-234-7033
Authorized Official
Title or Position : PROGRAM DIRECTOR
Name : DR. BETH C. ROBITAILLE
Credential : MD
Telephone Number : 307-234-6161
Provider Enumeration Date : 06/27/2011
Last Update Date : 05/12/2026

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1962440487 — DR. SHARON R KARNES M.D.
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1548201213 — MICHAEL V MILLER DO
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1396788865 — BETH C ROBITAILLE MD
Practice Location Address:
1522 E A ST
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1972546851 — STEPHAN N TRENT DO
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Directions to “UNIVERSITY OF WYOMING ” Practice Location

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