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NPI Code Detail

MEDICARE: FAITH A DILLARD MD

MEDICARE: FAITH A DILLARD 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
1207P00000XEmergency Medicine Physician0101236694VA
2207P00000XEmergency Medicine Physician7723AWY

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 : 1881684512
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAITH A DILLARD MD
Provider Business Mailing Address
First Line : PO BOX 3255
Second Line :
City : ROCK SPRINGS
State : WY
Zip : 82902-3255
Country : US
Telephone Number : 307-352-8549
Fax Number :
Provider Business Practice Location Address
First Line : 1200 COLLEGE DR
Second Line :
City : ROCK SPRINGS
State : WY
Zip : 82901-5868
Country : US
Telephone Number : 307-362-3711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 11/22/2021

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Directions to “ FAITH A DILLARD MD” Practice Location

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