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NPI 1619006582

NPI 1619006582 : W MICHAEL CROSBY M D P C : RIVERTON, WY

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General NPI Number Information
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    NPI Number           |    1619006582
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    Entity Type          |    Organization 
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    Legal Business Name  |    W MICHAEL CROSBY M D P C 
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Dates
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    Enumeration Date     |    03/05/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    2100 W SUNSET DR 
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    City                 |    RIVERTON
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    State                |    WY
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    Zip                  |    82501-2274
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    Country              |    US
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    Telephone            |    307-856-4161
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 32103 
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59107-2103
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    Country              |    US
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    Telephone            |    317-567-2180
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    Fax                  |    317-567-2191
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     WILLIAM MICHAEL CROSBY 
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    Credential           |    MD
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    Telephone            |    307-840-0874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    
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    License Number State |    WY
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Taxonomy #2
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    
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    License Number State |    WY
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