Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 4171A | WY |
NPI | 1053300814 |
---|---|
Provider Name | Dr. Martha H Silver |
First Address | Cheyenne, WY 82009-4058 |
Second Address | Cheyenne, WY 82009-4058 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2005 |
Last Update Date | 23/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100089600 | (05) | WY |
C71288 | (02) | WY |