OrganizationActive
Outpatient Radiology LLC
NPI 1396704474 · Diagnostic Radiology Physician · Casper, WY
Provider details
- NPI number
- 1396704474
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Rhea, President(307) 265-1620
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
419 South Washington Street
Suite 101
Casper, WY 82601
Phone: (307) 234-6963
Fax: (307) 237-1074
Approximate (ZIP-level) locationGet directions
Mailing address
419 South Washington Street
Casper, WY 82601
Additional practice locations (1)
- 820 W 42nd St Ste 1500Scottsbluff, NE 69361-5017Phone: (307) 265-1620Fax: (307) 237-1074
Registry dates
- Enumerated
- 2006-03-20
- Last updated
- 2024-06-17
- Certified
- 2024-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.