Robert Wallendorff, RPH

NPI 1811327679 · on the registry since 2013 · sole proprietor

Practice

Address: 1323 Dewar Dr
Rock Springs, WY 82901
Phone: (307) 362-9734
Fax: (307) 362-1380
Organisation at this address: Albertsons Llc
1918 Winter Street Operating Co Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: WY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-11-14

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