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NPI Code Detail

MEDICARE: DENNIS DALE SCHREFFLER M.D.

MEDICARE: DENNIS DALE SCHREFFLER M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician4544AWY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487672309
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS DALE SCHREFFLER M.D.
Provider Business Mailing Address
First Line : PO BOX 807
Second Line :
City : SHERIDAN
State : WY
Zip : 82801-0807
Country : US
Telephone Number : 307-672-1041
Fax Number :
Provider Business Practice Location Address
First Line : 1401 W 5TH ST
Second Line :
City : SHERIDAN
State : WY
Zip : 82801-2705
Country : US
Telephone Number : 307-672-1041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 06/28/2010

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