OrganizationActive
Wyoming Surgical Center Mri
NPI 1164599379 · Diagnostic Radiology Physician · Casper, WY
Provider details
- NPI number
- 1164599379
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Robertson, Administrator(307) 472-8781
- License
- 35-2-904 (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4140 Centennial Hills Blvd
#c
Casper, WY 82609-3265
Phone: (307) 472-8781
Fax: (307) 472-8887
Approximate (ZIP-level) locationGet directions
Mailing address
4140 Centennial Hills Blvd #c
Casper, WY 82609
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2008-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.