Search › Wyoming › 172V00000X

David Underwood, PEER SPECIALIST

NPI 1194011551 · on the registry since 2011

Practice

Address
1565 Hwy 150 S. Ste. C
Evanston, WY 82930
Phone
(307) 789-4224
Fax
(307) 789-4225

Registry record

Primary taxonomy
172V00000X
172V00000X
Also registered as
172V00000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-02-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming