Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 4165A | WY |
NPI | 1043292063 |
---|---|
Provider Name | Dr. David Gary Silver |
First Address | Cheyenne, WY 82001-3178 |
Second Address | Cheyenne, WY 82001-3176 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A73080 | (02) |