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NPI Code Detail

MEDICARE: DR. ERIC SAWYERS MD

MEDICARE: DR. ERIC SAWYERS MD
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
1207RN0300XNephrology PhysicianMD32855DC

General Provider Information

NPI Number : 1780686188
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC SAWYERS MD
Provider Business Mailing Address
First Line : PO BOX 51088
Second Line :
City : CASPER
State : WY
Zip : 82605-1088
Country : US
Telephone Number : 307-237-5026
Fax Number :
Provider Business Practice Location Address
First Line : 419 S WASHINGTON ST STE 102A
Second Line :
City : CASPER
State : WY
Zip : 82601-2951
Country : US
Telephone Number : 307-237-5047
Fax Number : 307-235-4017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 09/27/2019

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