last_name first_name title phone clinic name address1

Transcription

last_name first_name title phone clinic name address1
LAST_NAME
ARUP LABORATORIES INC
BLACK HILLS ULTRASOUND INC
CARDIONET INC
CPAP CARE CLUB LLC
DIABETES CARE CLUB LLC
BIOMET TRAUMA & SPINE
DIABETIC EXPERTS OF AMERICA
MED4HOME INC
MEDICAL DIAGNOSTIC LABORATORIES LLC
NATIONAL DME
OPTIGEN INC
PHYSICIANS CHOICE LABORATORY SERVICES
RS MEDICAL
RS MEDICAL
FAMILY PHARMACY
STAR PHARMACY
VALLEY UNITED DRUG
BEUS
BURTON
ERICKSON
BROWN
FULLMER
FULLMER
BOMAN
STOCK
HESS
WILLIAMS
JOST
JOST
SKENE
SKENE
MORGAN
STAR VALLEY MEDICAL CENTER
TALLERICO
OLSEN
PIEPER
LOWE
THOMSON
TAYLOR
BASIN PHARMACY
BILES
BONNEL-PHILLIPS
HAUSNER
RASMUSSEN
WEYER
SWEEN
THOMETZ
BOMENGEN
MAHONEY
MIDWAY CLINIC
SCHNEIDER
CARPENTER
FITZSIMMONS
HILL
SANDERS
SOUTH BIG HORN COUNTY HOSPITAL
WILLSON
STEWART
STEWART
FRONTIER PHARMACY
BUFFALO PRESCRIPTION SHOP
HALL
HAM
ALZHEIMER
WHITE
THOMETZ
DARNELL
DARNELL
GONAZLEZ
GOSAR
KIRVEN
KNIERIM
LUDWIG
RUBY
SCHUELER
STEWART
STRANNIGAN
TABB
YARLOTT
JOHNSON
JOHNSON
08/22/2013
FIRST_NAME
MICHAEL
GREG
CHET
CLANY
JOSHUA
JOSHUA
TEL
CURT
GARY
RAFAEL
HEIDI
HEIDI
GEOFFREY
GEOFFREY
CHRISTIAN
TITLE
PHONE
8015832787
6057166506
8664264402
8004875566
8008407711
8005262579
8168017500
8168017400
8772690090
8006441968
9043390050
(704) 900 2927
8006830353
8006830353
3078863846
3078859804
3078859804
3078857878
2083591888
8012942438
8012942438
8012942438
8012942438
3078855817
8006591335
3078855817
8003591335
(307) 885 5800
BRIAN
DAVID
MICHAEL
PHILLIP
SHELLY
RONALD
JIMMIE
KRISTI
LINDA
NICHOLAS
JASON
KRISTIN
ALAN
W
KEVIN
JOHN
JACK
BRENDAN
DEMAR
HEATHER
HOWARD
GREGORY
GREGORY
JACQUELINE
SANDRA
DANIEL
JASON
ALAN
BRIAN
TRACY
HERMILO
GRACE
LAWRENCE
GABRIELE
RYAN
BLAINE
MARK
JEROME
LAYNE
A DOZIER
MELVIN
JAMES
JAMES
3078855800
(307) 885 5852
8012942438
3073837000
3075683636
3075277834
(307) 568 2499
(307) 568 2499
(307) 568 2499
(307) 568 2499
3075682020
3075683311
(307) 568 2499
(307) 568 2499
3075683311
3075683311
(307) 568 3311
3075683311
(307) 568 3311
(307) 568 3311
3075683311
(307) 568 3311
3075683311
3075875131
3072763499
3076847003
3076845521
3076841444
3076845521
3076845521
8003251774
3076842228
3076842228
3076842228
3076842228
3076842228
3076842228
3076842228
3076842228
3076842228
3076842228
3076842228
3076842228
3076842228
3076848888
3076848888
CLINIC NAME
ARUP Laboratories Inc
Black Hills Ultrasound Inc
CardioNet Inc
CPAP Care Club LLC
Diabetes Care Club LLC
EBI, LLC DBA BIOMET
Lincare Inc
MED4HOME
MEDICAL DIAGNOSTIC LAB LLC
National DME
Optigen Inc
Physician Choice Laboratory
RS MEDICAL
RS MEDICAL
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
Aspen Physical Therapy
Aspen Physical Therapy
Aspen Physical Therapy
Jim Wheeler Physical Therapy
Joshua R Fullmer MD
Joshua R Fullmer MD
Mountain West Ear Nose & Throat PLLC
Mountain West Ear Nose & Throat PLLC
NORTH LINCOLN COUNTY HOSPITAL DISTRICT
ORTHOPAEDICS OF JACKSON HOLE
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
STAR VALLEY MEDICAL CENTER
STAR VALLEY MEDICAL CENTER
STAR VALLEY MEDICAL CENTER
STAR VALLEY PHYSICIANS
STAR VALLEY PHYSICIANS
Urology Associates Medical Group PC
ARAPAHOE HEALTH CENTER
NOYES HEALTH CARE CENTER
ADVANCEPCS
BIG HORN BASIN ORTHOPEDIC CLINIC, P.C.
BIG HORN CLINIC
BIG HORN CLINIC
BIG HORN CLINIC
BIG HORN CLINIC
BIG HORN COUNTY COUNSELING LOVELL
BILLINGS CLINIC
HOT SPRINGS COUNTY MEMORIAL HOSPITAL
HOT SPRINGS COUNTY MEMORIAL HOSPITAL
MIDWAY CLINIC
NORTHERN ROCKIES NEURO-SPINE
SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
UROLOGICAL SRV OF NORTHERN WYO
UROLOGICAL SRV OF NORTHERN WYO
ADVANCEPCS
ADVANCEPCS
ADVANTAGE REHAB
Bidonde Family Practice LLC
Big Horn Radiology
Big Horn Radiology
BILLINGS CLINIC
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
Johnson Chiropractic
Johnson Chiropractic
ADDRESS1
ARUP LABORATORIES INC
BLACK HILLS ULTRASOUND INC
CARDIONET INC
CPAP CARE CLUB LLC
DIABETES CARE CLUB LLC
BIOMET TRAUMA & SPINE
DIABETIC EXPERTS OF AMERICA
MED4HOME INC
MEDICAL DIAGNOSTIC LABORATORIES LLC
NATIONAL DME
OPTIGEN INC
PHYSICIANS CHOICE LABORATORY SERVICES
RS MEDICAL
RS MEDICAL
141 N WASHINGTON ST
439 WASHINGTON
439 N WASHINGTON ST
ASPEN PHYSICAL THERAPY
ASPEN PHYSICAL THERAPY
ASPEN PHYSICAL THERAPY
PHYSICAL THERAPY OF STAR VALLEY
JOSHUA R FULLMER MD
STAR VALLEY MEDICAL CENTER
STAR VALLEY MEDICAL CENTER
STAR VALLEY MEDICAL CENTER
110 HOSPITAL LN
STAR VALLEY MEDICAL CENTER
AFTON CLINIC
TETON ORTHOPAEDICS
AFTON CLINIC
TETON ORTHOPAEDICS
P O BOX 579
110 HOSPITAL LN
P O BOX 579
901 ADAMS ST
110 HOSPITAL LN
STAR VALLEY MEDICAL CENTER
14 GREAT PLAINS RD
NOYES HEALTH CARE CENTER INC
403 W "C" ST
BIG HORN BASIN ORTHOPAEDIC CLINIC
156 N 6TH ST
156 N 6TH ST
156 N 6TH ST
156 N 6TH ST
116 S 3RD ST
BILLINGS CLINIC
156 N 6TH ST
156 N 6TH ST
MIDWAY CLINIC
MIDWAY CLINIC
388 S US HWY 20
388 S US HWY 20
388 S US HWY 20
388 S US HWY 20
388 S US HWY 20
388 S US HWY 20
MIDWAY CLINIC
UROLOGICAL SERVICES OF NORTHERN WYOMING PC
501 N NICHOLS ST
431 FORT ST
JOHNSON COUNTY HEALTHCARE CENTER
BIDONDE FAMILY PRACTICE LLC
JOHNSON COUNTY MEMORIAL HOSPITAL
JOHNSON COUNTY MEMORIAL HOSPITAL
BILLINGS CLINIC
THE FAMILY MEDICAL CENTER
THE FAMILY MEDICAL CENTER
THE FAMILY MEDICAL CENTER
THE FAMILY MEDICAL CENTER
THE FAMILY MEDICAL CENTER
THE FAMILY MEDICAL CENTER
THE FAMILY MEDICAL CENTER
THE FAMILY MEDICAL CENTER
THE FAMILY MEDICAL CENTER
THE FAMILY MEDICAL CENTER
THE FAMILY MEDICAL CENTER
THE FAMILY MEDICAL CENTER
THE FAMILY MEDICAL CENTER
JOHNSON CHIROPRACTIC
JOHNSON CHIROPRACTIC
ADDRESS2
NATIONAL LABORATORY
MOBLIE ULTRASOUND
NATIONAL CARDIAC MONITORING
NATIONAL DURABLE MEDICAL SUPPLIER
NATIONAL DURABLE MEDICAL SUPPLIER
NATIONAL DURABLE MEDICAL SUPPLIER
NATIONAL DIABETIC SUPPLIER
NATIONAL DURABLE MEDICAL EQUIPMENT
LABORATORY TESTING/INFECTIOUS DISEASE
CUSTOM ORTHOTICS AND PROSTHETICS
NATIONAL CPAP SUPPLIER
NATIONAL LABORATORY SERVICES
NATIONAL DME SUPPLIES
NATIONAL ORTHOTICS SUPPLIES
121 N WASHINGTON
121 N WASHINGTON
121 N WASHINGTON
67 DOC PERKS LANE
901 ADAMS ST
110 HOSPITAL LN
110 HOSPITAL LN
110 HOSPITAL LN
110 HOSPITAL LN
110 HOSPITAL LN
901 ADAMS ST
110 HOSPITAL LN
120 HOSPITAL LN
110 HOSPITAL LN
305 WHIPPOORWILL ST
388 HWY 20 S
388 HWY 20 S
388 US HWY 20 S
388 US HWY 20 S
388 US HWY 20 S
509 W B ST
497 W LOTT
107 W HESSE
497 W LOTT
497 W LOTT
497 W LOTT
497 W LOTT
497 W LOTT
497 W LOTT
497 W LOTT
497 W LOTT
497 W LOTT
497 W LOTT
497 W LOTT
497 W LOTT
497 W LOTT
497 W LOTT
497 W LOTT
497 W LOTT
950 FETTERMAN
963 FORT ST #4
CITY
**STATEWIDE
**STATEWIDE
**STATEWIDE
**STATEWIDE
**STATEWIDE
**STATEWIDE
**STATEWIDE
**STATEWIDE
**STATEWIDE
**STATEWIDE
**STATEWIDE
**STATEWIDE
**STATEWIDE
**STATEWIDE
AFTON
AFTON
AFTON
AFTON
AFTON
AFTON
AFTON
AFTON
AFTON
AFTON
AFTON
AFTON
AFTON
AFTON
AFTON
AFTON
AFTON
AFTON
AFTON
AFTON
AFTON
AFTON
AFTON
ARAPAHOE
BAGGS
BASIN
BASIN
BASIN
BASIN
BASIN
BASIN
BASIN
BASIN
BASIN
BASIN
BASIN
BASIN
BASIN
BASIN
BASIN
BASIN
BASIN
BASIN
BASIN
BASIN
BIG PINEY
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
00000
00000
00000
00000
00000
00000
00000
00000
00000
00000
00000
00000
00000
00000
83110
83110
83110
83110
83110
83110
83110
83110
83110
83110
83110
83110
83110
83110
83110
83110
83110
83110
83110
83110
83110
83110
83110
82510
82321
82410
82410
82410
82410
82410
82410
82410
82410
82410
82410
82410
82410
82410
82410
82410
82410
82410
82410
82410
82410
83113
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
SPEC
LBCL
RASO
SPECIALTY_DESCR
Clinical Medical Laboratory
Radiology - Diagnostic Ultrasound
DE
DE
DE
DE
DE
LBCL
DE
DE
LBCL
DE
DE
PHY
PHY
PHY
PT
PT
PT
PT
OP
OP
AU
OL
AN
OR
OR
OR
RE
RE
FP
HSP
OR
AN
FP
SUUR
OD
FP
PHY
OR
PAC
RN
PAC
FP
CUMH
IMEP
FP
FP
FP
SUNS
PAC
EM
FP
PAC
HSP
FP
SUUR
SUUR
PHY
PHY
PT
FP
RADR
RADR
IMEP
FP
FP
FP
FP
FP
FP
FP
SU
FP
FP
FP
FP
SU
CH
CH
Durable Medical Equipment & Medical Supplies
Durable Medical Equipment & Medical Supplies
Durable Medical Equipment & Medical Supplies
Durable Medical Equipment & Medical Supplies
Durable Medical Equipment & Medical Supplies
Clinical Medical Laboratory
Durable Medical Equipment & Medical Supplies
Durable Medical Equipment & Medical Supplies
Clinical Medical Laboratory
Durable Medical Equipment & Medical Supplies
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy
Pharmacy
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Ophthalmology
Ophthalmology
Audiologist
Otolaryngology
Anesthesiology
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Family Practice
HOSPITAL
Orthopaedic Surgery
Anesthesiology
Family Practice
Urology
Optometrist
Family Practice
Pharmacy
Orthopaedic Surgery
Physician Assistant
Registered Nurse
Physician Assistant
Family Practice
Counselor - Mental Health
Internal Medicine - Clinical Cardiac Electrophysiology
Family Practice
Family Practice
Family Practice
Neurological Surgery
Physician Assistant
Emergency Medicine
Family Practice
Physician Assistant
HOSPITAL
Family Practice
Urology
Urology
Pharmacy
Pharmacy
Physical Therapist
Family Practice
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Internal Medicine - Clinical Cardiac Electrophysiology
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Surgery
Family Practice
Family Practice
Family Practice
Family Practice
Surgery
Chiropractor
Chiropractor
Page 1 of 57
LAST_NAME
JOHNSON COUNTY MEMORIAL HOSPITAL
ANDERSON
BAILEY
BELL
BOONE
ELLIOTT
PASTORE WATKINS
PHELON
RICE
SOLYST
TERRY
VAN NORMAN
WHITE
WINTER
LAMAN
LAMAN
QUINN
QUINN
ALLRED
BARKELL
GLASSOCK
GREEN
LAUSEN
PATTERSON
SHERWOOD
SHERWOOD
SIOJO ALLEN
WINNOP
ZOWADA
NOVICK
ALBERTSONS #802
ALBERTSONS #810
BI-RITE PAY LESS DRUG STORE
CARETRUST IV
COMMUNITY HEALTH CENTER OF CENTRAL WY
DRAKES DRUG, LLC
EMISSARY PHARMACY & INFUSION SRVC
KMART #4736
SAFEWAY #0433
SAFEWAY #2468
SMITH'S FOOD & DRUG #185
WALGREENS #7462
WALGREENS #7601
WALMART #1617
WALMART PHARMACY
WHALEN
SHAH
ALLPAPS RESPIRATORY SERVICES
PIKE
BROWN
JORGENSEN
SAYDJARI
SAYDJARI
BOWKLEY
CASPER MEDICAL IMAGING, P.C.
CUBIN
FLAHERTY
MCGINLEY
SLOAN
SMITH
SULSER
COPELAN
SHERIDAN
SHERIDAN
SHERIDAN
THALKEN
ALLAIRE
BAILEY
BARLETT RONE
BARLETT RONE
BEHRENS
BUELT
FEDORE
FRONTIERO
GLENNON
GORMAN
HAACK
HOPPE
MITCHELL
MOHR
NICKERSON
08/22/2013
FIRST_NAME
TITLE
JUDEE
CHERYL
ANDI
DON
SHERI
CAROL
HOPE
LINDA
JERRY
THOMAS
RITA
JENNIFER
CHRISTINE
BRIAN
BRIAN
ANTHONY
ANTHONY
BRIAN
JAMIE
ANGELA
DAGAN
KRISTA
HEATHER
KENT
KRESS
ANGELITA
TERRY
BRET
ROBERT
RICHARD
KAMLESH
DANIEL
GEORGE
JOELLEN
RAZI
RAZI
CHARLES
PHONE
(307) 684 5521
3076845531
3076845531
3076845531
3076845531
3076845531
3076845531
3076845531
3076845531
3076845531
3076845531
3076845531
3076845531
3076845531
3076842228
3076845521
3076842228
3076845521
3076848623
3076848623
3076848623
3076848623
3076848623
3076848623
3076848623
3076848623
3076848623
3076848623
3076848623
3076842228
3072660156
3072347159
3072651914
3072662273
3072336050
3072372271
3074720597
3072651331
3072347949
3075777062
3072666250
3072349184
3072349379
3072370994
3072329605
3072356605
3075775222
3075778796
3074724476
3072334210
3072334210
3072346554
3079958100
3072651620
ERIC
MICHAEL
JOSEPH
MICHAEL
GEOFFREY
DANIEL
SHANE
SUSAN
SUSAN
SUSAN
TWYLA
ROBERT
JOHN
STARRLA
STARRLA
JEROME
JENNIFER
DAN
JENNIFER
TIMOTHY
MATTHEW
ANN
SANDRA
MATTHEW
MARTY
CHERYL
PA
3072651620
3072651620
3072651620
3072346963
3074731000
3072346988
3075772950
3075777201
3072346988
3072657205
3072657205
3072657205
3079958100
3072657205
3072657205
3072657205
3072657205
(307) 265 7205
3072657205
3072657205
3072657205
3072657205
3072657205
3072657205
CLINIC NAME
JOHNSON COUNTY MEMORIAL HOSPITAL
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Physical Therapy
Wyoming Cardiopulmonary Services PC
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ALBANY COUNTY HOSPITAL DISTRICT
ALLERGY & ASTHMA CLINIC OF WY, LLC
Allpaps Respiratory Services
Alpine Chiropractic LLC
Aspen Creek Counseling Associates LLC
Aspen Creek Counseling Associates LLC
Casper Aethetics LLC
Casper Aethetics LLC
CASPER MEDICAL IMAGING, PC
CASPER MEDICAL IMAGING, PC
CASPER MEDICAL IMAGING, PC
CASPER MEDICAL IMAGING, PC
CASPER MEDICAL IMAGING, PC
CASPER MEDICAL IMAGING, PC
CASPER MEDICAL IMAGING, PC
CASPER MEDICAL IMAGING, PC
Casper Mountain Chiropractic
Casper OB/GYN Associates PC
Casper OB/GYN Associates PC
Casper OB/GYN Associates PC
Casper OB/GYN Associates PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
ADDRESS1
497 W. LOTT
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
FAMILY MEDICAL CENTER
JOHNSON COUNTY HEALTHCARE CENTER
FAMILY MEDICAL CENTER
JOHNSON COUNTY HEALTHCARE CENTER
BUFFALO PHYSICAL THERAPY
BUFFALO PHYSICAL THERAPY
BUFFALO PHYSICAL THERAPY
BUFFALO PHYSICAL THERAPY
BUFFALO PHYSICAL THERAPY
BUFFALO PHYSICAL THERAPY
BUFFALO PHYSICAL THERAPY
BUFFALO PHYSICAL THERAPY
BUFFALO PHYSICAL THERAPY
BUFFALO PHYSICAL THERAPY
BUFFALO PHYSICAL THERAPY
THE FAMILY MEDICAL CENTER
1076 CY AVE
2625 E 2ND ST
428 S DURBIN ST
1030 N POPLAR ST STE A
1522 E "A" ST
135 W 9TH ST
2546 E 2ND ST STE 100
4000 E 2ND ST
1375 CY AVE
300 SE WYOMING BLVD
2405 CY AVE
190 SE WYOMING BLVD
1071 CY AVE
4400 EAST 2ND ST
4255 CY AVE
167 S CONWELL #3
2222 E 2ND ST
ALLPAPS RESPIRATORY SERVICES
ALPINE CHIROPRACTIC LLC
ASPEN CREEK COUNSELING ASSOCIATES LLC
ASPEN CREEK COUNSELING ASSOCIATES LLC
CASPER AETHETICS LLC
MOUNTAIN VIEW REGIONAL HOSPITAL
419 S WASHINGTON ST STE 101
419 S WASHINGTON ST STE 101
419 S WASHINGTON ST STE 101
419 S WASHINGTON ST STE 101
419 S WASHINGTON ST
419 S WASHINGTON ST STE 101
419 S WASHINGTON ST STE 101
419 S WASHINGTON ST STE 101
CASPER MOUNTAIN CHIROPRACTIC
CASPER OB/GYN ASSOCIATES PC
CASPER SURGICAL CENTER
WYOMING MEDICAL CENTER
CASPER OB/GYN ASSOCIATES PC
CASPER ORTHOPAEDIC ASSOCIATES PC
CASPER ORTHOPAEDIC ASSOCIATES PC
CASPER ORTHOPAEDIC ASSOCIATES PC
MOUNTAIN VIEW REGIONAL HOSPITAL
CASPER ORTHOPAEDIC ASSOCIATES PC
CASPER ORTHOPAEDIC ASSOCIATES PC
CASPER ORTHOPAEDIC ASSOCIATES PC
CASPER ORTHOPAEDIC ASSOCIATES PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES PC
CASPER ORTHOPAEDIC ASSOCIATES PC
CASPER ORTHOPAEDIC ASSOCIATES PC
CASPER ORTHOPAEDIC ASSOCIATES PC
CASPER ORTHOPAEDIC ASSOCIATES PC
CASPER ORTHOPAEDIC ASSOCIATES PC
ADDRESS2
521 W LOTT
521 W LOTT
521 W LOTT
521 W LOTT
521 W LOTT
521 W LOTT
521 W LOTT
521 W LOTT
521 W LOTT
521 W LOTT
521 W LOTT
521 W LOTT
521 W LOTT
500 W LOTT
497 W LOTT
500 W LOTT
497 W LOTT
164 W HART ST
164 W HART ST
164 W HART ST
164 W HART ST
164 W HART ST
164 W HART ST
164 W HART ST
164 W HART ST
164 W HART ST
164 W HART ST
164 W HART ST
497 W LOTT
401 E COLLINS DR
301 S FENWAY STE 101
800 WERNER ST STE 235
800 WERNER ST STE 235
6600 E 2ND ST
6550 E SECOND ST
5850 EAST 2ND ST #200
150 N MELROSE
1201 E 3RD ST
1233 E 2ND ST
150 N MELROSE
4140 CENTENNIAL HILLS BLVD STE A
4140 CENTENNIAL HILLS BLVD STE A
4140 CENTENNIAL HILLS BLVD STE A
6550 E SECOND ST
4140 CENTENNIAL HILLS BLVD STE A
4140 CENTENNIAL HILLS BLVD STE A
4140 CENTENNIAL HILLS BLVD STE A
4140 CENTENNIAL HILLS BLVD STE A
4140 CENTENNIAL HILLS STE A
4140 CENTENNIAL HILLS BLVD STE A
4140 CENTENNIAL HILLS BLVD STE A
4140 CENTENNIAL HILLS BLVD STE A
4140 CENTENNIAL HILLS BLVD STE A
4140 CENTENNIAL HILLS BLVD STE A
4140 CENTENNIAL HILLS BLVD STE A
CITY
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
BUFFALO
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82834
82604
82604
82601
82601
82601
82601
82609
82609
82601
82609
82604
82609
82601
82609
82604
82601
82609
82601
82601
82601
82601
82609
82609
82601
82601
82601
82601
82601
82601
82601
82601
82609
82601
82601
82601
82601
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
SPEC
HSP
CUMH
PSPS
CUMH
CUMH
CUMH
PY
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
PY
OR
OR
OR
OR
PT
PT
PT
PT
PT
PT
PT
SLP
OT
PT
PT
IMCI
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
SU
AI
DE
CH
CUMH
CUMH
SU
SU
RADR
RADR
RADR
RADR
RADR
RADR
RADR
RADR
CH
OG
OG
OG
OG
OR
OR
OR
OR
OR
PT
OR
PT
PAC
OR
OR
OT
OR
PT
OT
SPECIALTY_DESCR
HOSPITAL
Counselor - Mental Health
Psychiatry & Neurology - Psychiatry
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychologist
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychologist
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Speech Language Pathologist
Occupational Therapist
Physical Therapist
Physical Therapist
Internal Medicine - Interventional Cardiology
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Surgery
Allergy & Immunology
Durable Medical Equipment & Medical Supplies
Chiropractor
Counselor - Mental Health
Counselor - Mental Health
Surgery
Surgery
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Chiropractor
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Physical Therapist
Orthopaedic Surgery
Physical Therapist
Physician Assistant
Orthopaedic Surgery
Orthopaedic Surgery
Occupational Therapist
Orthopaedic Surgery
Physical Therapist
Occupational Therapist
Page 2 of 57
LAST_NAME
ORCUTT
ROBERTSON
SMITH
SMITH
TURNER
WANBAUGH
YAKEL
YAKEL
CARLSON
GUSTAFSON
MONHOLLEN
SALVINO
BERENS
ADAMS
ALLEN
BECKER
CARTER
CONNOR
CURTIS
CYWINSKI
DEFRY
DONE
ENGLAND
FAILES
GRAVES
IZNEROWICZ
KOFFMAN
LATHEM
LICHLITER
MADRIGAL
MEADE
MILLER
MONROE
PAGE
POWELL
RICE
SHIPLEY
STINE
VIRAY
VOLK
VUOLO
WERNER
WINEMILLER
WOHLFELD
YOUNG
ZIMMERMAN
ZOELLER
CENTRAL WYOMING HOSPICE AND TRANSITIONS
SANTIAGO
CASPER SURGICAL CENTER
CASPER SURGICAL CENTER
ADAMS
AKSAMIT
KASLER
KEFFELER
LINAM
GOTTSCH
HANSEN
JONES
MUNDAY
PRESTO
WILLIAMS
WILLIAMS
HARNETTY
KNIERIM
KNIERIM
BAIR
BELL
FITZPATRICK
FLEMING
FLEMING
GREEN
GREEN
HAMILTON
HAMILTON
JANES
JENKINS
JOHNSON
KEENEY
KRAMER
MORGAN
08/22/2013
FIRST_NAME
STEVEN
NANCY
CRAIG
CRAIG
CLAYTON
MIKE
DEMIAN
DEMIAN
DAVID
PAUL
CATHERINE
CORA
CATHY
WILLIAM
DON
CHRISTINE
MARTHA
THOMAS
KATHLEEN
CATHERINE
TRELENE
SHARON
KATHLEEN
KIMBERLY
KAREN
ALICJA
JOHN
REGINA
PATRICE
TABATHA
COLEEN
LUANN
KATHLEEN
TAMARA
CHARLES
LINDA
KELLY
LISA
ARLENE
JEREMIAH
MARK
DIANE
CARLA
STEPHEN
EDWIN
RHONDA
JAMES
TITLE
ANGELO
CYNTHIA
CHRISTINA
DIANE
CHERYL
AMY
HENRY
TODD
J. PAUL
GEORGE
ANDREW
MARY ELLEN
MARY ELLEN
PAUL
GABRIELE
GABRIELE
RYAN
PATRICIA
AMY
JANE
JANE
LYNDA
LYNDA
ANDREW
ANDREW
DANIJELA
MELISSA
JUNGSOOK
STEPHANIE
WYATT
VAUGHN
MD
MD
PHONE
3072657205
3072657205
3072657205
3075777201
3072657205
3072657205
3079958100
3072657205
3072379494
3072379494
(307) 237 5510
(307) 237 5510
3072651500
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3072379583
3075774832
(307) 234 9037
(307) 577 2216
(307) 577 2964
3074723327
3074723327
3074723327
3074723327
3074723327
(307) 577 8600
(307) 577 8600
(307) 577 8600
(307) 577 8600
(307) 577 8600
8004273048
3075778600
3072336000
3072336000
3072336000
3072336000
3072336000
3072336000
3072336000
3072336000
3072336000
3072336000
3072336000
3072336000
3072336000
3072336000
3072336000
3072336000
3072336000
3072336000
CLINIC NAME
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER VISION CENTER
CASPER VISION CENTER
CASPER WOMENS CARE PC
CASPER WOMENS CARE PC
Cathy L Berens PC
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
Central Wyoming Hospice and Transitions
CENTRAL WYOMING NEUROLOGY LLC
CENTRAL WYOMING OUTPATIENT SURGERY CTR
CENTRAL WYOMING OUTPATIENT SURGERY CTR
Central Wyoming Therapy LLC
Central Wyoming Therapy LLC
Central Wyoming Therapy LLC
Central Wyoming Therapy LLC
Central Wyoming Therapy LLC
CENTRAL WYOMING UROLOGICAL ASSOCIATES,PC
CENTRAL WYOMING UROLOGICAL ASSOCIATES,PC
CENTRAL WYOMING UROLOGICAL ASSOCIATES,PC
CENTRAL WYOMING UROLOGICAL ASSOCIATES,PC
CENTRAL WYOMING UROLOGICAL ASSOCIATES,PC
CENTRAL WYOMING UROLOGICAL ASSOCIATES,PC
CENTRAL WYOMING UROLOGICAL ASSOCIATES,PC
CHC OF CENTRAL WY INC
CHC OF CENTRAL WY INC
CHC OF CENTRAL WY INC
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
ADDRESS1
CASPER ORTHOPAEDIC ASSOCIATES PC
CASPER ORTHOPAEDIC ASSOCIATES PC
CASPER ORTHOPAEDIC ASSOCIATES PC
WYOMING MEDICAL CENTER
CASPER ORTHOPAEDIC ASSOCIATES PC
CASPER ORTHOPAEDIC ASSOCIATES PC
MOUNTAIN VIEW REGIONAL HOSPITAL
CASPER ORTHOPAEDIC ASSOCIATES PC
CASPER VISION CENTER PC
CASPER VISION CENTER PC
770 E 2ND ST
770 E 2ND ST
CATHY L BERENS PC
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING COUNSELING CENTER
CENTRAL WYOMING HOSPICE AND TRANSITIONS
5820 E 2ND ST
DBA CASPER SURGICAL CENTER
1201 E THIRD ST
CENTRAL WYOMING THERAPY LLC
CENTRAL WYOMING THERAPY LLC
CENTRAL WYOMING THERAPY LLC
CENTRAL WYOMING THERAPY LLC
CENTRAL WYOMING THERAPY LLC
1416 E "A" ST STE 101
1416 E "A" ST, STE 101
1416 E "A" ST STE 101
1416 E "A" ST STE 101
1416 E "A" ST STE101
CENTRAL WYOMING UROLOGICAL ASSOCIATES
CENTRAL WYOMING UROLOGICAL ASSOCIATES
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CNTR OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CNTR OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CNTR OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
ADDRESS2
4140 CENTENNIAL HILLS BLVD STE A
4140 CENTENNIAL HILLS BLVD STE A
4140 CENTENNIAL HILLS BLVD STE A
1233 E 2ND ST
4140 CENTENNIAL HILLS BLVD STE A
4140 CENTENNIAL HILLS BLVD STE A
6550 E SECOND ST
4140 CENTENNIAL HILLS BLVD STE A
543 S DAVID ST
543 S DAVID ST
940 E 3RD ST STE 107
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
1430 WILKINS CR
319 S WILSON ST
1201 E THIRD ST
201 E SECOND ST STE 18
201 E SECOND ST STE 18
201 E SECOND ST STE 18
201 E SECOND ST STE 18
201 E SECOND ST STE 18
1416 EAST A ST
1416 EAST A ST S-101
5000 BLACKMORE RD
5000 BLACKMORE RD
1522 EAST A ST
5000 BLACKMORE RD
5000 BLACKMORE RD
5000 BLACKMORE RD
5000 BLACKMORE RD
1522 EAST A ST
5000 BLACKMORE RD
1522 EAST A ST
2546 E 2ND ST STE 600
5000 BLACKMORE RD
5000 BLACKMORE RD
5000 BLACKMORE RD
5000 BLACKMORE RD
5000 BLACKMORE RD
5000 BLACKMORE RD
5000 BLACKMORE RD
CITY
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82609
82609
82609
82601
82609
82609
82609
82609
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82609
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82609
82609
82601
82609
82609
82609
82609
82601
82609
82601
82609
82609
82609
82609
82609
82609
82609
82609
SPEC
OR
PT
OR
OR
OR
PT
OR
OR
OD
OD
NP
OG
OG
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
SPECIALTY_DESCR
Orthopaedic Surgery
Physical Therapist
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Physical Therapist
Orthopaedic Surgery
Orthopaedic Surgery
Optometrist
Optometrist
Nurse Practitioner
Obstetrics & Gynecology
Obstetrics & Gynecology
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
PY
CUMH
CUMH
CUMH
PSPS
CUMH
PSPS
RN
CUMH
CUMH
CUMH
CUMH
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychologist
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychiatry & Neurology - Psychiatry
Counselor - Mental Health
Psychiatry & Neurology - Psychiatry
Registered Nurse
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
HSCB
PSNE
CCSU
SC
OT
PT
SLP
OT
SLP
SUUR
SUUR
SUUR
SUUR
SUUR
SUUR
SUUR
OG
FP
FP
CUMH
OG
CUMH
FP
FP
FP
FP
CUMH
CUMH
FP
PY
IM
FP
FP
FP
Hospice Care, Community Based
Psychiatry & Neurology - Neurology
Clinic/Center - Ambulatory Surgical
SURGERY CENTER
Occupational Therapist
Physical Therapist
Speech Language Pathologist
Occupational Therapist
Speech Language Pathologist
Urology
Urology
Urology
Urology
Urology
Urology
Urology
Obstetrics & Gynecology
Family Practice
Family Practice
Counselor - Mental Health
Obstetrics & Gynecology
Counselor - Mental Health
Family Practice
Family Practice
Family Practice
Family Practice
Counselor - Mental Health
Counselor - Mental Health
Family Practice
Psychologist
Internal Medicine
Family Practice
Family Practice
Family Practice
Page 3 of 57
LAST_NAME
MORGAN
NEFF
OTTERSBACH
OWENS
OWENS
RAINER
RYGIEL
SCORESBY
WHINNERY
ZOLLER
AKHTER
MILLER
EDWARDS
EDWARDS
EDWARDS
MUNOZ
DASH
BRIGHT
CLOUD
JOUBRAN
KATZ
KRMPOTICH
MURPHY
MARIS
PHIPPS
LINCARE
CHRISTENSEN
MACGUIRE
BEUTLER
BEUTLER
DUEL
DUEL
DYVETTER
DYVETTER
HALE
HALE
HAMMOND
HAMMOND
KIDD
KIDD
KOPITNIK
KOPITNIK
MCVAY
MCVAY
MEYER
MEYER
SCHUBERT
SCHUBERT
SCHUBERT
THAPAR
THAPAR
THOMPSON
THOMPSON
BERGQUIST
BERGQUIST
BERGQUIST
MOUNTAIN VIEW REGIONAL HOSPITAL
RADKE
BEUTLER
MEYER
MEYER
MEYER
SAYDJARI
NORTHSTAR SLEEP LAB LLC
OUTPATIENT RADIOLOGY LLC
SMITH
BELL
BELL
BENSON
BENSON
CAHILL
DAVIS
DAVIS
HOLLAND
NAGINEY
NAGINEY
RIDLEY
ROSENBERGER
ROSENBERGER
HARRISON
HEENAN
08/22/2013
FIRST_NAME
VAUGHN
ANGELA
GARY
MICHAEL
MICHAEL
DEIDRE
RICHARD
TRAVIS
AMY
KAREN
JAVAID
DEBORAH
DIANE
CHERYL
CHERYL
ERIC
ERIC
CHARLA
JEFFREY
RAOUL
KENT
PHILLIP
PEGGY
MICHAEL
DOUGLAS
TITLE
MD
DPM
PAC
MD
LINDA
MARY
BARRY
BARRY
GINA
GINA
JOLENE
JOLENE
MATTHEW
MATTHEW
TODD
TODD
JUSTIN
JUSTIN
THOMAS
THOMAS
CODY
CODY
YVES
YVES
ERIC
ERIC
ERIC
KAMAL
KAMAL
TODD
TODD
PETER
PETER
PETER
H KARL
BARRY
ERIC
ERIC
ERIC
RAZI
GEOFFREY
KENNETH
KENNETH
DONALD
DONALD
LAUREN
KATHERINE
KATHERINE
MARK
JUDITH
JUDITH
DEANNA
NICOLE
NICOLE
STEPHANIE
KELLY
PHD
PHD
PSYD
PSYD
MA
LPC
LPC
LPC
PHD
PHD
MSW
MSW
MSW
PHONE
3072336000
3072336000
3072336000
3072336000
3072336000
3072336000
3072336000
3072336000
3072336000
3072336000
(307) 233 6000
3072621165
(307) 472 3769
3072350000
3075777201
(307) 266 4415
(307) 265 1792
(307) 265 1792
(307) 265 1972
(307) 265 1792
(307) 265 1792
3072353333
7207544800
(307) 233 6000
(800) 359 0240
3072654408
(307) 473 7821
3079958100
3079958100
3079958100
3072664000
3079958100
3072664000
3079958100
3072664000
3079958100
3079958100
3079958100
3072664000
3079958100
3072664000
3072664000
3079958100
3079958100
3072664000
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3079958100
3079958100
3072664000
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3072664000
3072664000
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(307) 577 3050
(307) 233 0549
(307) 577 3050
(307) 577 3050
(307) 233 0549
(307) 577 3050
(307) 577 3050
(307) 233 0549
(307) 577 3050
(307) 577 3050
(307) 233 0549
3072654000
3072654000
CLINIC NAME
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
COMMUNITY HOSPITAL - TORRINGTON
Deborah A Miller APRN BC
DEVELOPMENTAL PEDIATRICS
Dr. C. Y. Edwards of Wyoming PC
Dr. C. Y. Edwards of Wyoming PC
ERIC MUNOZ MD
FOOT CLINIC LLC
GASTROENTEROLOGY ASSOCIATES, PC
GASTROENTEROLOGY ASSOCIATES, PC
GASTROENTEROLOGY ASSOCIATES, PC
GASTROENTEROLOGY ASSOCIATES, PC
GASTROENTEROLOGY ASSOCIATES, PC
Grace Family Practice LLC
HEALTHONE CLINIC SERVICES-ONCOLOGY
LANDER MEDICAL CLINIC
LINCARE
Linda K Christensen PT
MARY E MACGUIRE, MD, PC
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
MOUNTAIN VIEW REGIONAL HOSPITAL
MOUNTAIN VIEW REGIONAL HOSPITAL
MOUNTAIN VIEW REGIONAL HOSPITAL
MOUNTAIN VIEW REGIONAL HOSPITAL
MOUNTAIN VIEW REGIONAL HOSPITAL
Mountain View Regional Hospital
Mountain View Regional Hospital
Mountain View Regional Hospital
Mountain View Regional Hospital
Mountain View Regional Hospital
NORTHSTAR SLEEP LAB, INC
OUTPATIENT RADIOLOGY, LLC
OUTPATIENT RADIOLOGY, LLC
Park Ridge Behavioral Healthcare
Park Ridge Behavioral Healthcare
Park Ridge Behavioral Healthcare
Park Ridge Behavioral Healthcare
Park Ridge Behavioral Healthcare
Park Ridge Behavioral Healthcare
Park Ridge Behavioral Healthcare
Park Ridge Behavioral Healthcare
Park Ridge Behavioral Healthcare
Park Ridge Behavioral Healthcare
Park Ridge Behavioral Healthcare
Park Ridge Behavioral Healthcare
Park Ridge Behavioral Healthcare
Pathways to Change LLC
Pathways to Change LLC
ADDRESS1
COMMUNITY HEALTH CNTR OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CNTR OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
COMMUNITY HEALTH CENTER OF CENTRAL WY INC
1522 E "A" ST
DEBORAH A MILLER APRN BC
915 S DAVID ST
CY EDWARDS MD OF WYOMING PC
WYOMING MEDICAL CENTER
805 E 2ND ST
1916 E. 1ST ST.
GASTROENTEROLOGY ASSOCIATES, PC
1441 WILKINS CIR PO BOX 367
1441 WILKINS CIR
1441 WILKINS CIR
1441 WILKINS CIR
GRACE FAMILY PRACTICE LLC
COLORADO BLOOD CANCER INSTITUTE
1522 E "A" ST
3150 S ENERGY LN
LINDA K CHRISTENSEN PT
1450 EAST A STREET STE. 3
MOUNTAIN VIEW CLINIC
MOUNTAIN VIEW REGIONAL HOSPITAL
MOUNTAIN VIEW REGIONAL HOSPITAL
MOUNTAIN VIEW CLINIC
MOUNTAIN VIEW REGIONAL HOSPITAL
MOUNTAIN VIEW CLINIC
MOUNTAIN VIEW REGIONAL HOSPITAL
MOUNTAIN VIEW CLINIC
MOUNTAIN VIEW REGIONAL HOSPITAL
MOUNTAIN VIEW CLINIC
MOUNTAIN VIEW REGIONAL HOSPITAL
MOUNTAIN VIEW CLINIC
MOUNTAIN VIEW REGIONAL HOSPITAL
MOUNTAIN VIEW CLINIC
CENTRAL WYOMING NEUROSURGERY
MOUNTAIN VIEW REGIONAL HOSPITAL
MOUNTAIN VIEW REGIONAL HOSPITAL
MOUNTAIN VIEW CLINIC
MOUNTAIN VIEW CLINIC
MOUNTAIN VIEW REGIONAL HOSPITAL
MOUNTAIN VIEW REGIONAL HOSPITAL
MOUNTAIN VIEW REGIONAL HOSPITAL
MOUNTAIN VIEW CLINIC
MOUNTAIN VIEW REGIONAL HOSPITAL
MOUNTAIN VIEW CLINIC
MOUNTAIN VIEW CLINIC
MOUNTAIN VIEW REGIONAL HOSPITAL
WYOMING MEDICAL CENTER
6550 E SECOND ST
MOUNTAIN VIEW REGIONAL HOSPITAL
MOUNTAIN VIEW REGIONAL HOSPITAL
CASPER SURGICAL CENTER
MOUNTAIN VIEW REGIONAL HOSPITAL
STERLING SURGERY CENTER
MOUNTAIN VIEW REGIONAL HOSPITAL
NORTHSTAR SLEEP LAB LLC
OUTPATIENT RADIOLOGY LLC
OUTPATIENT RADIOLOGY LLC
2435 KING BLVD. STE. 313
6500 E 2ND ST., STE 200
2435 KING BLVD. STE. 313
6500 E 2ND ST., STE 200
PARK RIDGE BEHAVIORAL HEALTH
2435 KING BLVD. STE. 313
6500 E 2ND ST., STE 200
2435 KING BLVD. STE. 313
2435 KING BLVD. STE. 313
6500 E 2ND ST., STE 200
2435 KING BLVD. STE. 313
2435 KING BLVD. STE. 313
6500 E 2ND ST., ST 200
PATHWAYS TO CHANGE LLC
PATHWAYS TO CHANGE LLC
ADDRESS2
1522 EAST A ST
5000 BLACKMORE RD
5000 BLACKMORE RD
5000 BLACKMORE RD
1522 EAST A ST
5000 BLACKMORE RD
5000 BLACKMORE RD
5000 BLACKMORE RD
5000 BLACKMORE RD
5000 BLACKMORE RD
1347 S WISCONSIN AVE
940 E 3RD ST STE 211
1233 E 2ND ST
1441 WILKINS CIRCLE
1300 E A ST STE 201
6501 E 2ND ST
761 W 45TH ST
6600 E 2ND ST
6550 E SECOND ST
6550 E SECOND ST
6600 E 2ND ST
6550 E SECOND ST
6600 E 2ND ST
6550 E SECOND ST
6600 E 2ND ST
6550 E SECOND ST
6600 E 2ND ST
6550 E SECOND ST
6600 E 2ND ST
6550 E SECOND ST
6600 E 2ND ST
6600 E 2ND ST
6550 E SECOND ST
6550 E SECOND ST
6600 E 2ND ST
6600 E 2ND ST
6500 E 2ND ST
6550 E SECOND ST
6550 E SECOND ST
6600 E 2ND ST
6550 E SECOND ST
6600 E 2ND ST
6600 E 2ND ST
6550 E SECOND ST
1233 E 2ND ST
6550 E SECOND ST
6550 E SECOND ST
1201 E 3RD ST
6550 E SECOND ST
1441 WILKINS CR
6550 E SECOND ST
5820 EAST SECOND ST STE 2
419 S WASHINGTON ST STE 101
419 S WASHINGTON ST STE 101
2435 KING BLVD. STE. 313
3211 ENERGY LN STE 206
3211 ENERGY LN STE 206
CITY
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82601
82609
82609
82609
82601
82609
82609
82609
82609
82609
82601
82609
82601
82601
82601
82601
82601
82601
826011337
82601
82601
82601
82601
82609
82601
82604
82601
82601
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82601
82609
82609
82609
82601
82609
82601
82609
82609
82601
82601
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82604
82604
SPEC
FP
PSPS
FP
FP
FP
PY
OG
OG
FP
FP
FP
SPECIALTY_DESCR
Family Practice
Psychiatry & Neurology - Psychiatry
Family Practice
Family Practice
Family Practice
Psychologist
Obstetrics & Gynecology
Obstetrics & Gynecology
Family Practice
Family Practice
Family Practice
PSPS
OG
OG
SUTH
PO
PAC
IMGI
IMGI
IMGI
IMGI
FP
IMHO
FP
DE
PT
SU
PNMG
PNMG
SUNS
SUNS
SUNS
SUNS
SUNS
SUNS
PNMG
PNMG
SUNS
SUNS
SUNS
SUNS
SUNS
SUNS
SUNS
SUNS
SUNS
SUNS
SUNS
SUNS
SUNS
SUNS
SUNS
OR
OR
OR
HSP
FP
AN
AN
AN
AN
SU
CCSL
RADR
RADR
PY
PY
PY
PY
SWC
CU
CU
CU
PY
PY
SWC
SWC
SWC
CUMH
PY
Psychiatry & Neurology - Psychiatry
Obstetrics & Gynecology
Obstetrics & Gynecology
Thoracic Surgery
Podiatrist
Physician Assistant
Internal Medicine - Gastroenterology
Internal Medicine - Gastroenterology
Internal Medicine - Gastroenterology
Internal Medicine - Gastroenterology
Family Practice
Internal Medicine - Hematology & Oncology
Family Practice
Durable Medical Equipment & Medical Supplies
Physical Therapist
Surgery
Pain Medicine - Pain Management
Pain Medicine - Pain Management
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Pain Medicine - Pain Management
Pain Medicine - Pain Management
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
HOSPITAL
Family Practice
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Surgery
Clinic/Center - Sleep Disorder Diagnostic
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Psychologist
Psychologist
Psychologist
Psychologist
Social Worker - Clinical
Counselor
Counselor
Counselor
Psychologist
Psychologist
Social Worker - Clinical
Social Worker - Clinical
Social Worker - Clinical
Counselor - Mental Health
Psychologist
Page 4 of 57
LAST_NAME
PHARMACY SOLUTIONS INC
GRUWELL
HAGER
HISER
MOSHER
STAFFILENO
LAWRENCE
LAWRENCE
STRAND
ENYERT
FAHED
FEHRINGER
FLECKENSTEIN
PATIK
PURVIANCE
PURVIANCE
RAMSEY
ROSEN
TOBIN
BEST
WOODS
HOLDER
WHELAN
WOODS
SHEPHERD OF THE VALLEY HEALTHCARE CENTER
BAGADI
BETTINGER
BLANKENSHIP
CARNAHAN
CHANG
DONALDSON
DUNN
ELLBOGEN
FARS
HOEKSTRA
KHAIRA
KINNER
KOLLU
MAJEED
MOHR
NELSON
NOVICK
POUDEL
SAMIEE
SCHMIDT
THAKUR
VEAUTHIER
WEBSTER
FORSHA
TUBBS
BROWN
STERLING SURGERY CENTER
LEVENE
IDEEN
HICKS
RISSER HICKS
CORNELIUS
DEISS
DEISS
GOEN
JORDING
KARNES
LAWRENCE
MAURER
MCLAIN
NOFFSINGER
PHIPPS
RADOSEVICH
ROBITAILLE
RUSSELL
SIEVERS
UMPHLETT
VEAUTHIER
WORKS
URGENT CARE OF CASPER LLC
DAY
FOX
FRARY
FRARY
HEPP-GARCIA
MICKELSON
08/22/2013
FIRST_NAME
AMY
MARY
VELVET
DOROTHY
ARIANNE
ERIC
ERIC
MATTHEW
GAIL
ELIE
REIM
JAMES
TONI
JOHN
JOHN
JOANN
JOSEPH
ROBERT
CHAD
TRISHA
KATHERINE
KELLY
TRISHA
TITLE
APRN
MD
PT
PAC
MD
MD
PAC
MD
MD
KAVITHA
PAUL
ROBERT
CYNTHIA
BASIL
TERRY
ROBERT
MARTIN
ROBERTO
KATHERINE
DIVIS
AMBER
VIDYA
MOHAMMED
MICHELE
VERA
JULIE
PUSHPA
OMIED
JAY
VASHU
BRAIN
MARILYN
DOUGLASS
VIRGINIA
STEPHEN
SUSANNE
DANA
KEN
JOANNE
MARIA
FREDERICK
ZACHORY
VALERIE
MICHAEL
SHARON
ERIC
WILLIAM
JERRY
JOHN
DOUGLAS
THOMAS
BETH
CAROLINE
KARLYNN
BROOKE
BRIAN
CYNTHIA
MD
MD
MD
PA
MD
MD
DO
LCSW
MD
PA
MD
MD
MD
DO
MD
PA
MD
MD
ROBERT
SHERRILL
JENNIFER
TIMOTHY
STEPHANIE
JOSEPH
MD
PA
PA
PA
MD
PHONE
3072370757
(307) 577 7737
(307) 577 7737
(304) 577 7737
(307) 577 7737
5088363663
3073156133
3075777201
3073156133
(307) 235 5433
(307) 235 5433
(307) 235 5433
3072355433
(307) 235 5433
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8776890005
8776890005
(307) 234 3638
3072346554
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3072652555
(307) 266 3076
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(307) 266 3076
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(307) 266 3076
(307) 266 3076
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3072651110
(307) 577 5100
(307) 577 5100
(307) 577 5100
(307) 557 5100
(307) 577 5100
(307) 577 5100
CLINIC NAME
Pharmacy Solutions Inc
PLATTE RIVER FAMILY PRACTICE
PLATTE RIVER FAMILY PRACTICE
PLATTE RIVER FAMILY PRACTICE
PLATTE RIVER FAMILY PRACTICE
PLATTE RIVER FAMILY PRACTICE
Rocky Mountain Family Medicine LLC
Rocky Mountain Family Medicine LLC
Rocky Mountain Family Medicine LLC
ROCKY MOUNTAIN ONCOLOGY CENTER, LLC
ROCKY MOUNTAIN ONCOLOGY CENTER, LLC
ROCKY MOUNTAIN ONCOLOGY CENTER, LLC
ROCKY MOUNTAIN ONCOLOGY CENTER, LLC
ROCKY MOUNTAIN ONCOLOGY CENTER, LLC
ROCKY MOUNTAIN ONCOLOGY CENTER, LLC
ROCKY MOUNTAIN ONCOLOGY CENTER, LLC
ROCKY MOUNTAIN ONCOLOGY CENTER, LLC
ROCKY MOUNTAIN ONCOLOGY CENTER, LLC
ROCKY MOUNTAIN ONCOLOGY CENTER, LLC
ROCKY MOUNTAIN PEDIATRIC GI
ROCKY MOUNTAIN THERAPY
Rocky Mountain Therapy LLC
Rocky Mountain Therapy LLC
Rocky Mountain Therapy LLC
Shepherd of the Valley Healthcare Center
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUND PHYSICIANS OF WYOMING
SOUTH VALLEY DERMATOLOGY
SOUTH VALLEY DERMATOLOGY
STEPHEN L. BROWN M.D.
STERLING SURGERY CENTER
Susanne Levene MD
THE FAMILY CLINIC
Transitions Family Counseling & Mediation Center
Transitions Family Counseling & Mediation Center
UNIV OF WYO FAMILY PRACTICE-CASPER
UNIV OF WYO FAMILY PRACTICE-CASPER
UNIV OF WYO FAMILY PRACTICE-CASPER
UNIV OF WYO FAMILY PRACTICE-CASPER
UNIV OF WYO FAMILY PRACTICE-CASPER
UNIV OF WYO FAMILY PRACTICE-CASPER
UNIV OF WYO FAMILY PRACTICE-CASPER
UNIV OF WYO FAMILY PRACTICE-CASPER
UNIV OF WYO FAMILY PRACTICE-CASPER
UNIV OF WYO FAMILY PRACTICE-CASPER
UNIV OF WYO FAMILY PRACTICE-CASPER
UNIV OF WYO FAMILY PRACTICE-CASPER
UNIV OF WYO FAMILY PRACTICE-CASPER
UNIV OF WYO FAMILY PRACTICE-CASPER
UNIV OF WYO FAMILY PRACTICE-CASPER
UNIV OF WYO FAMILY PRACTICE-CASPER
UNIV OF WYO FAMILY PRACTICE-CASPER
UNIV OF WYO FAMILY PRACTICE-CASPER
Urgent Care of Casper LLC
WESTERN MEDICAL ASSOCIATES LLC
WESTERN MEDICAL ASSOCIATES LLC
WESTERN MEDICAL ASSOCIATES LLC
WESTERN MEDICAL ASSOCIATES LLC
WESTERN MEDICAL ASSOCIATES LLC
WESTERN MEDICAL ASSOCIATES LLC
ADDRESS1
PHARMACY SOLUTIONS INC
PLATTE RIVER FAMILY PRACTICE
1900 E 1ST ST
1900 E 1ST ST
1900 E 1ST ST
PLATTE RIVER FAMILY PRACTICE
ROCKY MOUNTAIN FAMILY MEDICINE LLC
WYOMING MEDICAL CENTER
ROCKY MOUNTAIN FAMILY MEDICINE LLC
ROCKY MOUNTAIN ONCOLOGY CENTER
ROCKY MOUNTAIN ONCOLOGY CENTER, LLC
ROCKY MOUNTAIN ONCOLOGY CENTER
ROCKY MOUNTAIN ONCOLOGY CENTER
ROCKY MOUNTAIN ONCOLOGY CENTER
ROCKY MOUNTAIN ONCOLOGY CENTER, LLC
ROCKY MOUNTAIN ONCOLOGY CENTER, LLC
ROCKY MOUNTAIN ONCOLOGY CENTER
ROCKY MOUNTAIN ONCOLOGY CENTER
ROCKY MOUNTAIN ONCOLOGY CENTER, LLC
ROCKY MOUNTAIN PEDIATRIC GASTROENTEROLOGY
2546 E 2ND ST STE 500
ROCKY MOUNTAIN THERAPY LLC
ROCKY MOUNTAIN THERAPY LLC
ROCKY MOUNTAIN THERAPY LLC
SHEPHERD OF THE VALLEY HEALTHCARE CENTER
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
SOUND PHYSICIANS OF WYOMING LLC
PILOT BUTTE DERMATOLOGY
PILOT BUTTE DERMATOLOGY
2417 E 15TH ST
P O BOX 50158
SUSANNE LEVENE MD
1315 E "A" ST
TRANSITIONS FAMILY COUNSELING & MEDIATION CNT
TRANSITIONS FAMILY COUNSELING & MEDIATION CNT
1522 E "A" ST
1522 E "A" ST
1522 E "A" ST
1522 E "A" ST
1522 E "A" ST
1522 E "A" ST
1522 E "A" ST
1522 E "A" ST
1522 E "A" ST
1522 E "A" ST
1522 E "A" ST
1522 E "A" ST
1522 E "A" ST
1522 E "A" ST
1522 E "A" ST
1522 E "A" ST
1522 E "A" ST
1522 E "A" ST
URGENT CARE OF CASPER LLC
6500 E 2ND ST STE 200
WESTERN MEDICAL ASSOCIATES, PC
WESTERN MEDICAL ASSOCIATES, PC
WESTERN MEDICAL ASSOCIATES, PC
WESTERN MEDICAL ASSOCIATES, PC
WESTERN MEDICAL ASSOCIATES, PC
ADDRESS2
136 S MCKINELY
1900 E 1ST ST
1900 E 1ST
2241 FARNUM ST STE 102
1233 E 2ND ST
2241 FARNUM ST STE 102
6501 EAST 2ND STREET
6501 EAST 2ND STREET
6501 EAST 2ND STREET
6501 E 2ND ST
6501 EAST 2ND STREET
6501 EAST 2ND STREET
6501 EAST 2ND STREET
6501 E. 2ND ST
6501 EAST 2ND STREET
6501 E. 2ND ST.
940 W 3RD ST
2546 E 2ND ST STE 500
2546 E 2ND ST STE 500
2546 E 2ND ST STE 500
60 MAGNOLIA
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
1233 E 2ND ST
940 E 3RD ST
940 E 3RD ST
6600 EAST 2ND ST
336 S JACKSON
336 S JACKSON
2546 E 2ND ST STE 200
6500 E 2ND ST., STE 200
6500 E 2ND ST., STE 200
6500 E 2ND AVE., STE 200
6500 E 2ND ST., STE 200
6500 E 2ND ST., STE 200
CITY
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82601
82601
82601
82601
82601
82601
82609
82601
82609
82609
82609
82609
82609
82609
82609
82609
82609
82609
82601
82602
82609
82609
82609
82609
82604
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82609
826050158
82609
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82609
826094339
82609
82609
82609
82609
82609
SPEC
HOIF
NP
NP
NP
NP
FP
FP
FP
FP
RN
IMHO
PT
RADR
PAC
RADR
RAON
PAC
IMHO
RAON
PDGI
PT
OT
SLP
PT
HONA
IMHP
IMHP
IMHP
IMHP
IMHP
IMHP
IMHP
IMHP
IMHP
IMHP
IMHP
IMHP
IMHP
IMHP
IMHP
IMHP
IMHP
IMHP
IMHP
IMHP
IMHP
IMHP
IMHP
DM
DM
PSPS
CCSU
SU
FP
CUMH
CUMH
FP
FP
FP
PAC
FP
FP
FP
CU
FP
PAC
FP
FP
FP
FP
FP
PAC
FP
FP
CCUC
FP
FP
PAC
PAC
PAC
FP
SPECIALTY_DESCR
Home Infusion
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner
Family Practice
Family Practice
Family Practice
Family Practice
Registered Nurse
Internal Medicine - Hematology & Oncology
Physical Therapist
Radiology - Diagnostic Radiology
Physician Assistant
Radiology - Diagnostic Radiology
Radiology - Radiation Oncology
Physician Assistant
Internal Medicine - Hematology & Oncology
Radiology - Radiation Oncology
Pediatrics - Pediatric Gastroenterology
Physical Therapist
Occupational Therapist
Speech Language Pathologist
Physical Therapist
Nursing Care
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Dermatology
Dermatology
Psychiatry & Neurology - Psychiatry
Clinic/Center - Ambulatory Surgical
Surgery
Family Practice
Counselor - Mental Health
Counselor - Mental Health
Family Practice
Family Practice
Family Practice
Physician Assistant
Family Practice
Family Practice
Family Practice
Counselor
Family Practice
Physician Assistant
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Physician Assistant
Family Practice
Family Practice
Clinic/Center - Urgent Care
Family Practice
Family Practice
Physician Assistant
Physician Assistant
Physician Assistant
Family Practice
Page 5 of 57
LAST_NAME
NEWELL
RELIFORD
SCHOEBER
SWEDBERG
WMA DIAGNOSTICS & IMAGING
WMA DIAGNOSTICS & IMAGING
MILLS
ELSTE
FOUCRIER
FOUCRIER
SCHLAGENHAUFER
WIND CITY PHYSICAL THERAPY
SCALING
SCALING
SCALING
SCALING
SMOTHERS
SMOTHERS
VIGNERI
VIGNERI
VIGNERI
VIGNERI
VIGNERI
WHEELER
ADSIT
ADSIT
CASSEL
CASSEL
EISENHAUER
EISENHAUER
FLUTURE
FLUTURE
HISER
HISER
IVANOV
IVANOV
NOVICK
NOVICK
PICKRELL
PICKRELL
SKAF
SKAF
STAFFILENO
STAFFILENO
WICKS
WICKS
AVERY
CASTA
CLYDE
COTANT
ERK
GRIFFIN
HOLLIS
HUSSIENO
LLOYD
MCGINLEY
NEFF
PEREZ
SMITH
SRAMEK
STRAND
TAYLOR
VOINOV
WEINER
WILLES
SHARONS HOME HEALTH
SMITH
SMITH
MONSON
RUPP
WYOMING MEDICAL CENTER
BENNETT
CLARK
TOBIN
TOBIN
SWAN
ANDERSON
ANDERSON
BECKSTEAD
DEITCHLER
GREEN
08/22/2013
FIRST_NAME
BREHAN
KARRI
JOSEPH
JAY
PAMELA
KARI
JEFFREY
JEFFREY
JESSICA
SAM
SAM
SAM
SAM
LAURA
LAURA
SAMUEL
SAMUEL
SAMUEL
SAMUEL
SAMUEL
DAVID
SARAH
SARAH
JANE
JANE
MICHAEL
MICHAEL
ADRIAN
ADRIAN
WESLEY
WESLEY
OLEG
OLEG
ROBERT
ROBERT
JOHN
JOHN
MICHEL
MICHEL
ARIANNE
ARIANNE
ALLAN
ALLAN
ANDREW
DEXTER
BRENT
CASEY
DAVID
ROBERT
ROBERT
MUHAMMAD
JASON
MARK
ROBERT
RAFAEL
DONALD
JOSEPH
MATTHEW
TARA
ANCA
PATRICE
SHELLY
TITLE
FNP
PAC
MD
DPT
MD
MD
MD
MD
MD
PAC
MD
MD
MD
MD
MD
MD
MD
PAC
MD
MD
MD
PAC
GEOFFREY
GEOFFREY
DON
JAMES
BRUCE
ELIZABETH
ROBERT
ROBERT
RYAN
BROCK
JAMES
TODD
VICTORIA
DAMON
MD
PA
PHONE
(307) 577 5100
(800) 210 0500
(307) 577 5100
(307) 577 5100
(307) 577 5100
3075775100
3072652461
3072353910
3072353910
3072353910
(307) 235 3910
3072353910
3075772950
3072651620
3075774225
3075777201
3075774225
3075777201
3075772950
3079958100
3072651620
3075774225
3075777201
(307) 265 4343
3072663174
3075777201
3072663174
3075777201
3072663174
3075777201
3072663174
3075777201
3072663174
3075777201
3072663174
3075777201
3072663174
3075777201
3072663174
3075777201
3072663174
3075777201
3072663174
3075777201
3072663174
3075777201
(307) 265 8300
(307) 265 8300
(307) 266 2222
(307) 577 5047
(307) 265 8300
(307) 266 2222
(307) 266 2222
(307) 577 0477
(307) 265 8300
(307) 577 7201
(307) 577 5047
(307) 577 7201
(307) 577 7201
(307) 266 2222
(307) 237 5026
(307) 577 7201
(307) 265 8300
(307) 577 7201
(307) 266 2222
3077563394
3072651620
3075771003
3074738010
3075777201
3075777201
(307) 265 4343
(307) 265 4343
3072355433
3075777920
3072657731
(307) 577 4220
(307) 577 4220
(307) 577 4220
(307) 577 4220
(307) 577 4220
CLINIC NAME
WESTERN MEDICAL ASSOCIATES LLC
WESTERN MEDICAL ASSOCIATES LLC
WESTERN MEDICAL ASSOCIATES LLC
WESTERN MEDICAL ASSOCIATES LLC
WESTERN MEDICAL ASSOCIATES LLC
WESTERN MEDICAL ASSOCIATES LLC
Wildflower Health Clinic
WIND CITY PHYSICAL THERAPY
WIND CITY PHYSICAL THERAPY
WIND CITY PHYSICAL THERAPY
WIND CITY PHYSICAL THERAPY
WIND CITY PHYSICAL THERAPY
WOMEN'S HEALTH ASSOCIATES OF WYOMING LLP
WOMEN'S HEALTH ASSOCIATES OF WYOMING LLP
WOMEN'S HEALTH ASSOCIATES OF WYOMING LLP
WOMEN'S HEALTH ASSOCIATES OF WYOMING LLP
WOMEN'S HEALTH ASSOCIATES OF WYOMING LLP
WOMEN'S HEALTH ASSOCIATES OF WYOMING LLP
WOMEN'S HEALTH ASSOCIATES OF WYOMING LLP
WOMEN'S HEALTH ASSOCIATES OF WYOMING LLP
WOMEN'S HEALTH ASSOCIATES OF WYOMING LLP
WOMEN'S HEALTH ASSOCIATES OF WYOMING LLP
WOMEN'S HEALTH ASSOCIATES OF WYOMING LLP
WY NEUROLOGIC ASSOCIATES LLC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
WYOMING HEALTH MEDICAL GROUP
WYOMING HEALTH MEDICAL GROUP
WYOMING HEALTH MEDICAL GROUP
WYOMING HEALTH MEDICAL GROUP
WYOMING HEALTH MEDICAL GROUP
WYOMING HEALTH MEDICAL GROUP
WYOMING HEALTH MEDICAL GROUP
WYOMING HEALTH MEDICAL GROUP
WYOMING HEALTH MEDICAL GROUP
WYOMING HEALTH MEDICAL GROUP
WYOMING HEALTH MEDICAL GROUP
WYOMING HEALTH MEDICAL GROUP
WYOMING HEALTH MEDICAL GROUP
WYOMING HEALTH MEDICAL GROUP
WYOMING HEALTH MEDICAL GROUP
WYOMING HEALTH MEDICAL GROUP
WYOMING HEALTH MEDICAL GROUP
WYOMING HEALTH MEDICAL GROUP
WYOMING HEALTH MEDICAL GROUP
Wyoming Home Health Inc
WYOMING IMAGING CENTER
WYOMING IMAGING CENTER
Wyoming Institute for Better Living Inc
WYOMING MEDICAL CENTER
WYOMING MEDICAL CENTER
WYOMING NEUROLOGIC ASSOCIATES
WYOMING NEUROLOGIC ASSOCIATES
Wyoming Oncology Professionals
Wyoming Oncology Professionals
WYOMING PSYCHIATRY
WYOMING SURGICAL ASSOCIATES, PC
WYOMING SURGICAL ASSOCIATES, PC
WYOMING SURGICAL ASSOCIATES, PC
WYOMING SURGICAL ASSOCIATES, PC
WYOMING SURGICAL ASSOCIATES, PC
ADDRESS1
WESTERN MEDICAL ASSOCIATES, PC
WESTERN MEDICAL ASSOCIATES LLC
WESTERN MEDICAL ASSOCIATES, PC
6500 E 2ND ST STE 200
WMA DIAGNOSTICS & IMAGING
WMA DIAGNOSTICS & IMAGING
WILDFLOWER HEALTH CLINIC
WIND CITY PHYSICAL THERAPY
WIND CITY PHYSICAL THERAPY
WIND CITY PHYSICAL THERAPY
WIND CITY PHYSICAL THERAPY
1347 S WISCONSIN AVE
CASPER SURGICAL CENTER
OUTPATIENT RADIOLOGY LLC
WOMENS HEALTH ASSOCIATES
WYOMING MEDICAL CENTER
WOMENS HEALTH ASSOCIATES
WYOMING MEDICAL CENTER
CASPER SURGICAL CENTER
MOUNTAIN VIEW REGIONAL HOSPITAL
OUTPATIENT RADIOLOGY LLC
WOMENS HEALTH ASSOCIATES
WYOMING MEDICAL CENTER
PO BOX 51037
WYOMING CARDIOPULMONARY SERVICES PC
WYOMING MEDICAL CENTER
WYOMING CARDIOPULMONARY SERVICES PC
WYOMING MEDICAL CENTER
WYOMING CARDIOPULMONARY SERVICES PC
WYOMING MEDICAL CENTER
WYOMING CARDIOPULMONARY SERVICES PC
WYOMING MEDICAL CENTER
WYOMING CARDIOPULMONARY SERVICES PC
WYOMING MEDICAL CENTER
WYOMING CARDIOPULMONARY SERVICES PC
WYOMING MEDICAL CENTER
WYOMING CARDIOPULMONARY SERVICES PC
WYOMING MEDICAL CENTER
WYOMING CARDIOPULMONARY SERVICES PC
WYOMING MEDICAL CENTER
WYOMING CARDIOPULMONARY SERVICES PC
WYOMING MEDICAL CENTER
WYOMING CARDIOPULMONARY SERVICES PC
WYOMING MEDICAL CENTER
WYOMING CARDIOPULMONARY SERVICES PC
WYOMING MEDICAL CENTER
SAGE PRIMARY CARE
SAGE PRIMARY CARE
WYOMING BRAIN AND SPINE ASSOCIATES
CENTRAL WYOMING NEPHROLOGY
SAGE PRIMARY CARE
WYOMING BRAIN AND SPINE ASSOCIATES
WYOMING BRAIN AND SPINE ASSOCIATES
CASPER PULMONARY
SAGE PRIMARY CARE
INTESIVIST SERVICES OF WYOMING
CENTRAL WYOMING NEPHROLOGY
INTESIVIST SERVICES OF WYOMING
INTESIVIST SERVICES OF WYOMING
WYOMING BRAIN AND SPINE ASSOCIATES
SAGE PRIMARY CARE
INTENSIVIST SERVICES OF WYOMING
SAGE PRIMARY CARE
INTENSIVIST SERVICES OF WYOMING
WYOMING BRAIN AND SPINE ASSOCIATES
SHARONS HOME HEALTH
OUTPATIENT RADIOLOGY LLC
WYOMING IMAGING CENTER LP
WYOMING INSTITUTE FOR BETTER LIVING INC
4140 S POPLAR
1233 E 2ND ST
WYOMING NEUROLOGIC ASSOCIATES
1020 E 2ND ST
ROCKY MOUNTAIN ONCOLOGY CENTER
WYOMING ONCOLOGY PROFESSIONALS
WYOMING PHYSIATRY INC
419 S WASHINGTON ST #102
419 S WASHINGTON STE 102
419 S WASHINGTON STE 102
419 S WASHINGTON STE 102
419 S WASHINGTON ST #102
ADDRESS2
6500 E 2ND ST., STE 200
6500 E 2ND ST STE 200
6500 E 2ND ST., STE 200
6500 E 2ND ST STE 100
6500 E 2ND ST STE 100
128 S WASHINGTON
1347 S WISCONSIN AVE
1020 E 2ND ST
1347 S WISCONSIN AVE
1347 S WISCONSIN AVE
1201 E 3RD ST
419 S WASHINGTON ST STE 101
1125 E 2ND ST
1233 E 2ND ST
1125 E 2ND ST
1233 E 2ND ST
1201 E 3RD ST
6550 E SECOND ST
419 S WASHINGTON ST STE 101
1125 E 2ND ST
1233 E 2ND ST
1230 E 1ST ST
1233 E 2ND ST
1230 E 1ST ST
1233 E 2ND ST
1230 E 1ST ST
1233 E 2ND ST
1230 E 1ST ST
1233 E 2ND ST
1230 E 1ST ST
1233 E 2ND ST
1230 E 1ST ST
1233 E 2ND ST
1230 E 1ST ST
1233 E 2ND ST
1230 E 1ST ST
1233 E 2ND ST
1230 E 1ST ST
1233 E 2ND ST
1230 E 1ST ST
1233 E 2ND ST
1230 E 1ST ST
1233 E 2ND ST
419 S. WASHINGTON STREET STE. 200
419 S. WASHINGTON STREET STE. 200
1020 E. 2ND ST STE 200
419 S. WASHINGTON STREET STE. 202A
419 S. WASHINGTON STREET STE. 200
1020 E. 2ND STREET STE. 200
1020 E. 2ND STREET STE. 200
419 S. WASHINGTON STREET STE. 202B
419 S. WASHINGTON STREET STE. 200
1233 E. 2ND STREET
419 S. WASHINGTON STREET STE. 202A
1233 E 2ND STREET
1233 E. 2ND STREET
1020 E. 2ND STREET STE 200
1020 S. CONWELL ST.
1233 E. 2ND STREET
419 S WASHINGTON ST STE 200
1233 E. 2ND STREET
1020 E. 2ND STREET STE. 200
800 WERNER COURT STE 20
419 S WASHINGTON ST STE 101
231 S WASHINGTON ST
123 W 1ST ST STE 760
1020 EAST 2ND ST.
6501 E 2ND ST
1233 E 2ND ST
5715 E 2ND ST
CITY
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
826094339
826014339
82609
82609
82609
82609
82601
82609
82609
82609
82609
82609
82601
82601
82601
82601
82601
82601
82601
82609
82601
82601
82601
82605
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
82601
826012951
82601
82601
82601
82601
82601
82601
82604
82601
826012946
826012951
82609
82601
82609
82601
82601
82601
82601
82601
SPEC
NPFA
PAC
FP
FP
CCRA
CCRA
PT
OT
PT
PT
PT
PT
OG
OG
OG
OG
OG
OG
OG
OG
OG
OG
OG
PSNE
IMCI
IMCI
IMCI
IMCI
IMCI
IMCI
IMCI
IMCI
IMCI
IMCI
IMCI
IMCI
IMCI
IMCI
IMCI
IMCI
IMCI
IMCI
IMCI
IMCI
IMCI
IMCI
IM
IM
SUNS
IMKD
IM
PAC
SUNS
IMPU
FP
IMPU
IMKD
IMCC
IMCC
SUNS
PAC
IMCC
FP
IMPU
PAC
HOHE
RADR
RADR
CUMH
IMKD
HSP
PSPS
PSNE
RAON
RAON
RE
SU
SUVS
SU
PAC
PAC
SPECIALTY_DESCR
Nurse Practitioner - Family
Physician Assistant
Family Practice
Family Practice
Clinic/Center - Radiology
Clinic/Center - Radiology
Physical Therapist
Occupational Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Psychiatry & Neurology - Neurology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine
Internal Medicine
Neurological Surgery
Internal Medicine - Nephrology
Internal Medicine
Physician Assistant
Neurological Surgery
Internal Medicine - Pulmonary Disease
Family Practice
Internal Medicine - Pulmonary Disease
Internal Medicine - Nephrology
Internal Medicine - Critical Care Medicine
Internal Medicine - Critical Care Medicine
Neurological Surgery
Physician Assistant
Internal Medicine - Critical Care Medicine
Family Practice
Internal Medicine - Pulmonary Disease
Physician Assistant
Home Health
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Counselor - Mental Health
Internal Medicine - Nephrology
HOSPITAL
Psychiatry & Neurology - Psychiatry
Psychiatry & Neurology - Neurology
Radiology - Radiation Oncology
Radiology - Radiation Oncology
Physical Medicine & Rehabilitation
Surgery
Surgery - Vascular Surgery
Surgery
Physician Assistant
Physician Assistant
Page 6 of 57
LAST_NAME
JOHNSON
RATCLIFF
ROBINSON
SMOTHERS
WALKER
ZAHARAS
PERALA
ABSOLUTE RESPIRATORY CARE
WEBER
ELDRED
ELDRED
FISHER
ALBERTSONS #834
ALBERTSONS #847
GENOA HEALTHCARE
HOYS DRUG
HOYS HOSPITAL PHARMACY
HOYS PROFESSIONAL PHARMACY
KING SOOPER'S PHARMACY
KMART #3891
MEDICAP #245
SAFEWAY #2469
SAFEWAY #2667
WALGREENS #9548
WALMART #1315
OHASHI
GONDALIA
WATKINS
DAVIS
GATES
MARTINO
ROSEN
FLYNN
CUNNINGHAM
CARTER
FISCHER
FUCHS
GORDON
HANNA
MEANS
THOMPSON
WHITESELL
HABERMAN
STEFKA
WAECKERLIN
BOHRER
BRENCHLEY
DORROUGH
FESLER
FILBY
KAHRE
KLEINSASSER
LANSING
LARSEN
LEBEAUMONT
MANESS
MILMONT
RIVERS
RODRIGUEZ-MORVELI
SANDICK
SKOLNICK
SMITS
STEVENS
STONE
STUMBO
WHITEFORD
YOUNG
ZUELKE
RUSSELL
WAGNER
ALLMAN
MCCALL
ASSOC. IN THERAPY FOR INFANTS & CHILDREN
ROSENTHAL
MORE
ROPER
ZUBROD
PIERSON
KRENZELOK
AVENUES PHYSICAL THERAPY
FROELICHER
08/22/2013
FIRST_NAME
RAY
ROBERT
BRYNN
LANE
DEBRA
PHILLIP
DANIEL
TITLE
PA
BRUCE
DAVID
KEITH
TIMOTHY
ALISON
LAKHMAN
ALISON
JENNIFER
KATHLEEN
KRISTINE
JANE
LAWRENCE
AMANDA
WILLIAM
CAROL
TAMMI
COURTNEY
PETER
MICHAEL
SUSAN
JULIE
PHILLIP
JAKUB
RONALD
BETH
PHILLIP
MICHAEL
DALETTE
PAUL
JAMES
JAN
RAYMOND
NICHOLAS
RONALD
RICK
BRUCE
CASSIE
DANTE
STANLEY
DAVID
REUBEN
RONALD
LUDONNA
HEATHER
ROBERT
GEORGIA
LORENE
ANNA
ANNE
BARBARA
TANYA
TORI
MICHAEL
RICK
RUBY
JAN
ALTON
LINDA
PHONE
(307) 577 4220
(307) 577 4220
(307) 577 4220
(307) 577 4220
(307) 577 4220
3076342503
(307) 772 1149
(307) 635 6777
3076349627
3076349627
3077210022
3076351155
3076378361
3077783818
3076341818
3076377920
3077759601
3076380192
3076359108
3076353712
3077788589
3076357877
(307) 635 5854
3076347433
3074331124
3077782015
3077782015
(307) 632 6403
(307) 632 6403
APRN
(307) 632 6403
3076355347
3076303481
(307) 426 4060
FNPC
NP
MS
DPM
(307) 426 4060
(307) 426 4060
(307) 426 4060
(307) 426 4060
(307) 426 4060
(307) 426 4060
3076349238
3076349238
(307) 634 9238
(307) 638 0300
(307) 638 0300
(307) 638 0300
(307) 638 0300
(307) 638 0300
(307) 638 0300
(307) 638 0300
(307) 638 0300
(307) 638 0300
3076380300
(307) 638 0300
3076380300
(307) 638 0300
(307) 638 0300
3076380300
(307) 638 0300
(307) 638 0300
3076380300
(307) 638 0300
(307) 638 0300
3076380300
(307) 638 0300
(307) 638 0300
3076346594
3076377736
3072875929
(307) 421 6310
3076352900
3076352900
(307) 778 7666
(307) 778 7666
3075140292
3074329601
3074338853
3076340298
3076340298
CLINIC NAME
WYOMING SURGICAL ASSOCIATES, PC
WYOMING SURGICAL ASSOCIATES, PC
WYOMING SURGICAL ASSOCIATES, PC
WYOMING SURGICAL ASSOCIATES, PC
WYOMING SURGICAL ASSOCIATES, PC
WYOMING SURGICAL ASSOCIATES, PC
A NEW CONCEPT OPTICAL
ABSOLUTE RESPIRATORY CARE
ACTIVE CARE CHIROPRACTIC
ADVANCED EYE CARE CLINIC PC
ADVANCED EYE CARE CLINIC PC
Advanced Foot Care PC
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ALISON OHASHI, PH.D., P.C.
ALLERGY & ASTHMA CLINIC OF WY, LLC
ALLERGY & ASTHMA CLINIC OF WY, LLC
ALPHA FAMILY MEDICINE, INC
ALPHA FAMILY MEDICINE, INC
ALPHA FAMILY MEDICINE, INC
ALPHA FAMILY MEDICINE, INC
ALT COUNSELING & CONSULTING CENTER
AMANDA K. CUNNINGHAM, MSW
AMERICAS EXPRESS URGENT CARE
AMERICAS EXPRESS URGENT CARE
AMERICAS EXPRESS URGENT CARE
AMERICAS EXPRESS URGENT CARE
AMERICAS EXPRESS URGENT CARE
AMERICAS EXPRESS URGENT CARE
AMERICAS EXPRESS URGENT CARE
AMERICAS EXPRESS URGENT CARE
ANAPATH DIAGNOSTICS, INC
ANAPATH DIAGNOSTICS, INC
ANAPATH DIAGNOSTICS, INC
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY CONSULTANTS
ANNA M. RUSSELL LCSW, PC
ANNE S WAGNER, LCSW, PC
ANSWERS PROFESSIONAL COUNSELING, LLC
ASPEN COUNSELING CENTER
ASSOC. IN THERAPY FOR INFANTS & CHILDREN
ASSOC. IN THERAPY FOR INFANTS & CHILDREN
ASSOCIATED PODIATRISTS, P.C.
ASSOCIATED PODIATRISTS, P.C.
AUDIOLOGY & TINNITUS CENTER OF CHEYENNE
AUDIOLOGY CENTER, INC.
AVENUES HEALTH CENTER
AVENUES THERAPY CLINIC
AVENUES THERAPY CLINIC
ADDRESS1
419 S WASHINGTON ST STE 102
419 S WASHINGTON STE 102
419 S WASHINGTON STE 102
419 S WASHINGTON STE 102
419 S WASHINGTON ST STE102
419 S WASHINGTON STE 102
2528 DELL RANGE BLVD STE F
2017 E. 11TH ST.
7124 COMMONS DR STE D
2029 BLUEGRASS CIR
2029 BLUEGRASS CIR
ADVANCED FOOT CARE
3355 E PERSHING BLVD
5800 N YELLOWSTONE RD
2526 SEYMOUR AVE
1115 E PERSHING BLVD
2301 HOUSE AVE STE 101
2301 HOUSE AVE STE 102
3702 DELL RANGE BLVD
1840 DELL RANGE BLVD
1947 BLUEGRASS CIR
400 COLE SHOPPING CTR
714 S GREELEY HWY
1501 DELL RANGE BLVD
2032 DELL RANGE BLVD
3514 CONCORD RD
6252 YELLOWSTONE RD
6252 YELLOWSTONE RD
1202 CLEVELAND AVE
1202 CLEVELAND AVE
ALPHA FAMILY MEDICINE
1202 CLEVELAND AVE
2111 WARREN AVE
508 E 17TH ST
7124 COMMONS DR STE C
AMERICA'S EXPRESS URGENT CARE
AMERICAS EXPRESS URGENT CARE
7124 COMMONS DR
7124 COMMONS DR STE C
7124 COMMONS DR STE C
AMERICAS EXPRESS URGENT CARE
7124 COMMONS DR STE C
2301 HOUSE AVE STE 108
2301 HOUSE AVE STE 108
2301 HOUSE AVE STE 108
PO BOX 2417
1017 E LINCOLNWAY
1017 E LINCOLNWAY
PO BOX 2417
PO BOX 2417
PO BOX 2417
PO BOX 2417
PO BOX 2417
1017 E LINCOLNWAY
1017 E LINCOLNWAY
PO BOX 2417
1017 E LINCOLNWAY
1017 E LINCOLNWAY
1017 E LINCOLNWAY
1017 E LINCOLNWAY
1017 E LINCOLNWAY
1017 E LINCOLNWAY
1017 E LINCOLNWAY
1017 E LINCOLNWAY
PO BOX 2417
1017 E LINCOLNWAY
1017 E LINCOLNWAY
PO BOX 2417
2909 BENT AVE
2622 PIONEER AVE
5846 KENOSHA ST
ASPEN COUNSELING CENTER
PO BOX 20909
3718 PIONEER AVE
2029 BLUEGRASS CIR STE 200
ASSOCIATED PODIATRISTS, PC
611 E CARLSON STE 117
423 COLE SHOPPING CTR
520 RANDALL AVE
4000 CENTRAL AVE STE 3
4000 CENTRAL AVE STE 3
ADDRESS2
5050 POWDERHOUSE RD
1202 CLEVELAND AVE
7124 COMMONS DRIVE STE. C
7124 COMMONS DR STE C
7124 COMMONS DR SUITE C
721 E. LINCOLNWAY
2029 BLUEGRASS CIR STE 200
CITY
CASPER
CASPER
CASPER
CASPER
CASPER
CASPER
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82601
82601
82601
82601
82601
82601
82009
82001
820092620
82009
82009
82009
82001
82009
82003
82001
82001
82001
82009
82009
82009
82001
82007
82009
82009
82001
82009
82009
82001
82001
820016700
82001
82001
82001
820092620
82009
82009
820092620
82009
820092620
820092620
82009
82001
82001
82001
82003
82001
82001
82003
82003
82003
82003
82003
82001
82001
82003
82001
82001
82001
82001
82001
82001
82001
82001
82003
82001
82001
82003
82001
82001
82001
82001
82003
82001
82009
82009
82009
82001
82001
82001
82001
SPEC
PAC
SUCR
RN
SU
PAC
SU
OD
DE
CH
OD
OD
PO
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PY
AI
PAC
NP
NP
NPFA
NP
CUMH
CUMH
NPFA
FP
NPFA
PAC
FP
EM
NPAC
PAC
PGCL
IMHO
PGCL
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
CUMH
CUMH
CUMH
CU
HURE
PT
PO
POFA
AU
AU
CH
PT
PT
SPECIALTY_DESCR
Physician Assistant
Colon & Rectal Surgery
Registered Nurse
Surgery
Physician Assistant
Surgery
Optometrist
Durable Medical Equipment & Medical Supplies
Chiropractor
Optometrist
Optometrist
Podiatrist
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Psychologist
Allergy & Immunology
Physician Assistant
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner - Family
Nurse Practitioner
Counselor - Mental Health
Counselor - Mental Health
Nurse Practitioner - Family
Family Practice
Nurse Practitioner - Family
Physician Assistant
Family Practice
Emergency Medicine
Nurse Practitioner - Acute Care
Physician Assistant
Pathology - Anatomic Pathology & Clinical Pathology
Internal Medicine - Hematology & Oncology
Pathology - Anatomic Pathology & Clinical Pathology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor
Rehabilitation Unit
Physical Therapist
Podiatrist
Podiatrist - Foot & Ankle Surgery
Audiologist
Audiologist
Chiropractor
Physical Therapist
Physical Therapist
Page 7 of 57
LAST_NAME
FIRST_NAME
KEAN
KELSEY
NELSON
ERIC
SMITH
WALYNN
VASQUEZ
ELOY
BABSON
JOHN
DUNCAN
ROBIN
RICHARDS
VICKIE
SCHWERIN
KARI
SILVEY
M. MICHEAL
DOLBY
BARBARA
JOHNSON
BARBARA
LONG
BYRON
NELSON
ERIC
TONSO
TYLER
CHRISTENSEN
BRANT
HICKS
REBEKAH
ZUBROD
RUBY
SERDA
SONJIA
CLARK
KRISTINE
FISCHER
CAROL
LUCAS
PATRICK
STRUNA
JOYCE
BONGO
CAROLJEAN
STERNITZKE
MARY ELLEN
CENTER FOR DERMATOLOGIC SURG
LANGER
DANIEL
MCELWEE
HUGH
SEARS
STEPHEN
SIMMONS
ROBERT
BARON
JILLIAN
BARON
REBECCA
CHAMPLIN
SANDY
DERNER
JAMIE
HEARNE
CHRISTOPHER
KEEFE
AMANDA
KILTY
TARYN
MCMURTREY
JAMIE
ROSSMAN
ERIN
VALENTE
LESLIE
JUNKIN
CHARLES
AL CHEKAKIE
OBADAH
ANDERSON
ANN
CHAPMAN
JAMES
DIEFENDERFER
AMANDA
DUNCAN
KARL
GARCIA
CESAR
HIGGINBOTHAM
MICHAEL
KHAN
MUHAMMAD
KIDNER
MARIA
MOHAN
RAJESH
NIENABER
WILLIAM
SHAMSHAD
FAISAL
SPAULDING
MICHAEL
TUNUGUNTLA
ANURADHA
SILVER
DAVID
ROBINSON
RICK
FRANKLIN
ELIZABETH
SEITZ
GREGORY
SEITZ
LARRY
DREDLA III
THOMAS
JOHNSTON
RANDOLPH
MCKUSKER
SHAUNA
MILLER
ANNE
MILLIN
JOHN
SMITH
BRIAN
BRENTLINGER
DALE
DAVIES
CIARA
HAGEMEYER
MATTHEW
JACQUAY
PAUL
WILLIAMS
STACY
CHEYENNE HEALTH CARE CENTER
WALTER
ARLAN
CHEYENNE-LARAMIE COUNTY HEALTH DEPARTMENT
SHERARD
PATTY
THYFAULT
LINDA
WINTERS
SHANNON
HAYDEN
SCOTT
HOWSHAR
MARK
HOYER
ERIC
HUBBARD
JAMES
KAHN
ROBERT
08/22/2013
TITLE
PT
FNP
DC
DPT
PT
PHONE
3076340298
(307) 634 0298
3076340298
3076340298
(307) 632 0728
(307) 632 0728
(307) 632 0728
(307) 632 0728
3076320728
3076384880
3077788567
3076342626
3076342626
(307) 514 5964
3074264327
3074264327
(307) 514 0292
3075142781
9193212921
(307) 778 3121
(307) 778 3121
(307) 778 3121
3077601871
(307) 637 7906
(307) 635 0226
3076353076
3076353076
3076353076
3076353076
3077738533
3077738533
(307) 773 8533
3077738533
3077738533
3077738533
(307) 773 8533
3077738533
3077738533
(307) 773 8533
3076314912
(307) 637 1600
3076371600
3076371600
3076371600
MD
MD
MD
3076371600
3076371600
(307) 637 1600
(307) 637 1600
(307) 637 1600
(307) 637 1600
(307) 637 1600
3076371600
MD
CRNA
PA
3076386624
3076350256
3076358299
3076358299
3076358299
(307) 634 2020
3076342020
3076342020
3076342020
3076342020
3076348011
(307) 635 3618
(307) 635 3618
(307) 635 3618
(307) 635 3618
(307) 635 3618
(307) 634 7986
3076350435
(307) 633 4000
(307) 633 4040
(307) 633 4040
(307) 633 4040
(307) 634 7711
(307) 634 7711
(307) 634 7711
(307) 634 7711
(307) 634 7711
CLINIC NAME
AVENUES THERAPY CLINIC
AVENUES THERAPY CLINIC
AVENUES THERAPY CLINIC
AVENUES THERAPY CLINIC
BABSON & ASSOCIATES PRIMARY CARE, P.C.
BABSON & ASSOCIATES PRIMARY CARE, P.C.
BABSON & ASSOCIATES PRIMARY CARE, P.C.
BABSON & ASSOCIATES PRIMARY CARE, P.C.
BABSON & ASSOCIATES PRIMARY CARE, P.C.
BARBARA DOLBY, LCSW
BARBARA M. JOHNSON, LCSW
BLUEGRASS PHYSICAL THERAPY
BLUEGRASS PHYSICAL THERAPY
BODYBALANCE, LLC
BRANT AUDIOLOGY
BRANT AUDIOLOGY
BRANT AUDIOLOGY
BREAK THROUGH COUNSELING
C&K Wellness Associates
CAROL A. FISCHER, M.D. P.C.
CAROL A. FISCHER, M.D. P.C.
CAROL A. FISCHER, M.D. P.C.
CAROLJEAN BONGO, PSYD. LLC
CATHOLIC CHARITIES OF WYOMING
CENTER FOR DERMATOLOGIC SURGERY
CENTERS FOR GASTROENTEROLOGY
CENTERS FOR GASTROENTEROLOGY
CENTERS FOR GASTROENTEROLOGY
CENTERS FOR GASTROENTEROLOGY
CHAMPLIN PHYSICAL THERAPY
CHAMPLIN PHYSICAL THERAPY
CHAMPLIN PHYSICAL THERAPY
CHAMPLIN PHYSICAL THERAPY
CHAMPLIN PHYSICAL THERAPY
CHAMPLIN PHYSICAL THERAPY
CHAMPLIN PHYSICAL THERAPY
CHAMPLIN PHYSICAL THERAPY
CHAMPLIN PHYSICAL THERAPY
CHAMPLIN PHYSICAL THERAPY
CHARLES JUNKIN MA DBA CAPITOL COUNSELING
CHEYENNE CARDIOLOGY ASSOCIATES
CHEYENNE CARDIOLOGY ASSOCIATES
CHEYENNE CARDIOLOGY ASSOCIATES
CHEYENNE CARDIOLOGY ASSOCIATES
CHEYENNE CARDIOLOGY ASSOCIATES
CHEYENNE CARDIOLOGY ASSOCIATES
CHEYENNE CARDIOLOGY ASSOCIATES
CHEYENNE CARDIOLOGY ASSOCIATES
CHEYENNE CARDIOLOGY ASSOCIATES
CHEYENNE CARDIOLOGY ASSOCIATES
CHEYENNE CARDIOLOGY ASSOCIATES
CHEYENNE CARDIOLOGY ASSOCIATES
CHEYENNE CARDIOLOGY ASSOCIATES
CHEYENNE CARDIOLOGY ASSOCIATES
CHEYENNE CARDIOVASCULAR & THORACIC SURG
CHEYENNE COMMUNITY DRUG ABUSE TREATMENT
CHEYENNE DERMATOLOGY & WYOMING LASER PC
CHEYENNE DERMATOLOGY & WYOMING LASER PC
CHEYENNE DERMATOLOGY & WYOMING LASER PC
CHEYENNE EYE CLINIC
CHEYENNE EYE CLINIC
CHEYENNE EYE CLINIC
CHEYENNE EYE CLINIC
CHEYENNE EYE CLINIC
CHEYENNE FAMILY CHIROPRACTIC
CHEYENNE HEALTH & WELLNESS CENTER
CHEYENNE HEALTH & WELLNESS CENTER
CHEYENNE HEALTH & WELLNESS CENTER
CHEYENNE HEALTH & WELLNESS CENTER
CHEYENNE HEALTH & WELLNESS CENTER
CHEYENNE HEALTH CARE CENTER
CHEYENNE HEARING CLINIC
CHEYENNE LARAMIE COUNTY HEALTH
CHEYENNE LARAMIE COUNTY HEALTH
CHEYENNE LARAMIE COUNTY HEALTH
CHEYENNE LARAMIE COUNTY HEALTH
CHEYENNE MRI LIMITED PARTNERSHIP
CHEYENNE MRI LIMITED PARTNERSHIP
CHEYENNE MRI LIMITED PARTNERSHIP
CHEYENNE MRI LIMITED PARTNERSHIP
CHEYENNE MRI LIMITED PARTNERSHIP
ADDRESS1
4000 CENTRAL AVE STE 3
AVENUES THERAPY CLINIC
4000 CENTRAL AVE STE 3
4000 CENTRAL AVE STE 3
1331 PRAIRIE AVE STE 1
1331 PRAIRIE AVE STE 1
1331 PRAIRIE AVE STE 1
BABSON AND ASSOCIATES
1331 PRAIRIE AVE STE 1.
2321 DUNN AVE
2321 DUNN AVE
1950 BLUEGRASS CIRCLE ST 110
BLUE GRASS PHYSICAL THERAPY
BODYBALANCE, LLC
1714 LOGAN AVE
1714 LOGAN AVE
BRANT AUDIOLOGY ASSOCIATES
2122 HOUSE AVE
C&K WELLNESS ASSOCIATES
1331 PRAIRIE AVE STE 2
1331 PRAIRIE AVE STE 2
1331 PRAIRIE AVE STE 2
2909 BENT AVE
507 E 18TH ST
123 WESTERN HILLS BLVD
CENTERS FOR GASTROENTEROLOGY
CENTERS FOR GASTROENTEROLOGY
CENTERS FOR GASTROENTEROLOGY
CENTERS FOR GASTROENTEROLOGY
1951 BLUEGRASS CIR
1951 BLUEGRASS CIR
PHYSICAL THERAPY CENTER
1951 BLUEGRASS CR
1951 BLUEGRASS CR
1951 BLUEGRASS CR
PHYSICAL THERAPY CENTER
1951 BLUEGRASS CR
1951 BLUEGRASS CR
PHYSICAL THERAPY CENTER
1616 WARREN #22
2301 HOUSE AVE STE 300
2301 HOUSE AVE STE 301
2301 HOUSE AVE STE 301
2301 HOUSE AVE STE 301
CHEYENNE REGIONAL MEDICAL CENTER
2301 HOUSE AVE STE 301
2301 HOUSE AVE STE 301
2301 HOUSE AVE STE 301
2301 HOUSE AVE STE 301
CHEYENNE CARDIOLOGY ASSOCIATES
2301 HOUSE AVE STE 301
2301 HOUSE AVE #301
2301 HOUSE AVE STE 301
CHEYENNE REGIONAL MEDICAL CENTER
2301 HOUSE AVE STE 207
1920 THOMES AVE STE 320
2112 SEYMOUR AVE
2112 SEYMOUR AVE
2112 SEYMOUR AVE
ASC CHEYENNE EYE SURGERY
1300 E 20TH ST
1300 E 20TH ST
1300 E 20TH ST
1300 E 20TH ST
1439 STILLWATER AVE STE 5
2508 E FOX FARM RD 1A
2508 E FOX FARM RD STE 1A
2508 E FOX FARM RD #1A
2508 E FOX FARM RD STE 1A
2508 E FOX FARM RD STE 1A
2700 E 12TH ST
1401 AIRPORT PRKWY STE 230
100 CENTRAL AVE
100 CENTRAL AVE
100 CENTRAL AVE
100 CENTRAL AVE
2003 BLUEGRASS CR
2003 BLUEGRASS CIR
2003 BLUEGRASS CR
2003 BLUEGRASS CR
2003 BLUEGRASS CR
ADDRESS2
4000 CENTRAL AVE STE 3
1331 PRAIRIE AVENUE STE. 1
1950 BLUEGRASS CIR STE 110
1950 BLUEGRASS CIR STE. 110
1714 LOGAN AVE.
1215 TAFT AVE APT D
4108 LARAMIE ST
4108 LARAMIE ST
4108 LARAMIE ST
4108 LARAMIE ST
1951 BLUEGRASS CR
1951 BLUEGRASS CIR
1951 BLUEGRASS CR
300 E 23RD ST
2301 HOUSE AVE. STE. 301
214 E 23RD
1300 E 20TH ST
CITY
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82001
820011377
82001
82001
82009
82009
82009
82009
82009
82001
82001
82009
82009
82009
82001
82001
820015006
82001
82001
82009
82009
82009
82001
82001
82009
82001
82001
82001
82001
82009
82009
82009
82009
82009
82009
820097355
82009
82009
82009
82003
82001
82001
82001
82001
820013748
82001
82001
82001
82001
82001
82001
82007
82001
820013748
82001
82001
82001
82001
82001
820014021
82001
82001
82001
82001
82009
82007
82007
820072559
82007
82007
82001
82001
82007
82007
82007
82007
82009
82009
82009
82009
82009
SPEC
PT
PT
PT
PT
FP
NP
NP
NP
DIR
CUMH
CUMH
PT
PT
CH
AU
AU
AU
CUMH
DIR
FP
PAC
PAC
PY
CU
CC
IMGI
IMGI
IMGI
IMGI
PT
PT
PT
PT
PT
PT
PT
PT
PT
PT
CUMH
IMEP
NP
IM
PAC
IMCV
PAC
IMCA
IM
NP
IMCV
IMCV
IM
IMCV
IMCV
SUTH
CUMH
NP
DM
DM
ANEN
OP
OP
OP
OP
CH
IM
PAC
FP
PAC
PAC
SNF
AU
GP
NP
NP
NP
RADR
RADR
RADR
RADR
RADR
SPECIALTY_DESCR
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Family Practice
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner
Dietitian, Registered
Counselor - Mental Health
Counselor - Mental Health
Physical Therapist
Physical Therapist
Chiropractor
Audiologist
Audiologist
Audiologist
Counselor - Mental Health
Dietitian, Registered
Family Practice
Physician Assistant
Physician Assistant
Psychologist
Counselor
Clinic/Center
Internal Medicine - Gastroenterology
Internal Medicine - Gastroenterology
Internal Medicine - Gastroenterology
Internal Medicine - Gastroenterology
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Counselor - Mental Health
Internal Medicine - Clinical Cardiac Electrophysiology
Nurse Practitioner
Internal Medicine
Physician Assistant
Internal Medicine - Cardiovascular Disease
Physician Assistant
Internal Medicine
Nurse Practitioner
Internal Medicine - Cardiovascular Disease
Internal Medicine - Cardiovascular Disease
Internal Medicine
Internal Medicine - Cardiovascular Disease
Internal Medicine - Cardiovascular Disease
Thoracic Surgery
Counselor - Mental Health
Nurse Practitioner
Dermatology
Dermatology
Nurse Anesthetist, Certified Registered
Ophthalmology
Ophthalmology
Ophthalmology
Ophthalmology
Chiropractor
Internal Medicine
Physician Assistant
Family Practice
Physician Assistant
Physician Assistant
SKILLED NURSING FACILITY
Audiologist
General Practice
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Page 8 of 57
LAST_NAME
KELLAM
KETCHAM
POSSEHN
WRIGHT
ESKAM
FOLEY
LIND
MAGES
NELSON
RANDALL
TARR
TURNER
VANKIRK
VIGUE
WAGNER
CHEYENNE OCULAR SURGERY
LIFE CARE CENTER OF CHEYENNE
DOLAN
GUSTAFSON
WILLIAMS
CHEYENNE ORTHO IMAGING
BASTA
RANGITSCH
TORKELSON
HAYDEN
HOWSHAR
HOYER
HUBBARD
KAHN
KELLAM
KETCHAM
POSSEHN
WRIGHT
CHEYENNE REGIONAL MEDICAL CTR
BALIAN
BATTINI
BENAKNIN
BROWN
COLLISON
DEMSHAR
DOBSON
DRAPER
FAGIN
FISCHER
FREEMAN
FRYE
FUCHS
GAZI
GOEL
GRUBER
HAARMANN
HALLER
HARRISON
HARTMAN
HAWKINS
HIBBS
JASMIN
JEWELL-REDMAN
KANTZ
KARIM
KHAN
LARICCIA
LEE
LEUNG
MARIS
MARWANY
MEHRA
MICKELSON
MONTROSS
MUIR
NICHOLS
NKHUMANE
PANUGANTI
PEETE
POUGET
RAND
ROY
SARKISSIAN
SAVIDGE
SCHROLL
SHARP
08/22/2013
FIRST_NAME
D
WILLIAM
DANIEL
JOHN
SHARON
MARY-ELLEN
DAVID
PATRICIA
MICHAEL
KATHRYN
PHYLLIS
JENNIFER
KRISTINE
LISA
PHILIP
REX
ROLAND
BRYCE
TITLE
MD
DDS
JEAN
MARK
RICHARD
SCOTT
MARK
ERIC
JAMES
ROBERT
D
WILLIAM
DANIEL
JOHN
EPIPHANES
VINEELA
JONATHAN
CRAIG
JASON
JAMES
JOSEPH
RANDALL
KAREN
SELAH
YURI
BRIAN
TAMMI
TAWHID
ASHUTOSH
AMY
BRETT
JAMES
WILLIAM
STANLEY
MARY
HAROLD
LUC DUPONT
KARLA
KARIN
ANWARUL
IFTIKHAR
ELLEN
CARLY
KAREN
TABITHA
HOUSSAM
ABHISHEK
ASHLEE
HEATHER
JOHN
ERIN
MOLPOLOKI
KIRAN
STEPHANIE
KAREN
THERESA
SOUMEN
ANGELA
JULIA
ELIZABETH
PHILIP
MD
DO
MD
MD
NP
MD
MD
PHONE
(307) 633 8923
(307) 634 7711
(307) 634 7711
(307) 634 7711
(307) 634 5216
(307) 634 5216
(307) 634 5216
(307) 634 5216
(307) 634 5216
(307) 634 5216
(307) 634 5216
(307) 634 5216
(307) 634 5216
(307) 634 5216
(307) 634 5216
(307) 632 2020
3077788997
(307) 635 6940
(307) 635 6940
(307) 635 6940
3076329261
(307) 632 9261
(307) 632 9261
(307) 632 9261
3076347711
(307) 634 7711
(307) 634 7711
3076347711
3076347711
3076338923
3076347711
3076347711
(307) 634 7711
(307) 634 2243
3076333026
(307) 432 6629
(307) 633 7370
(307) 633 7779
3076333025
3076337370
(307) 633 3096
3076333028
3077782860
3076337321
3076337370
(307) 635 4131
(307) 633 3096
(307) 633 3096
3074326629
(307) 432 3685
3076337670
3076333038
3077738012
MD
MD
(307) 432 6629
(307) 633 3096
3076333096
MD
3074326629
3076337370
3076333096
(307) 633 7619
3074326629
PCSW
MD
MD
(307) 633 3096
3076337370
(307) 633 7370
(307) 432 6629
3076337370
MD
3074326629
(307) 633 3096
(307) 633 7370
CLINIC NAME
CHEYENNE MRI LIMITED PARTNERSHIP
CHEYENNE MRI LIMITED PARTNERSHIP
CHEYENNE MRI LIMITED PARTNERSHIP
CHEYENNE MRI LIMITED PARTNERSHIP
CHEYENNE OBSTETRICS & GYNECOLOGY
CHEYENNE OBSTETRICS & GYNECOLOGY
CHEYENNE OBSTETRICS & GYNECOLOGY
CHEYENNE OBSTETRICS & GYNECOLOGY
CHEYENNE OBSTETRICS & GYNECOLOGY
CHEYENNE OBSTETRICS & GYNECOLOGY
CHEYENNE OBSTETRICS & GYNECOLOGY
CHEYENNE OBSTETRICS & GYNECOLOGY
CHEYENNE OBSTETRICS & GYNECOLOGY
CHEYENNE OBSTETRICS & GYNECOLOGY
CHEYENNE OBSTETRICS & GYNECOLOGY
CHEYENNE OCULAR SURGERY, LLC
CHEYENNE OPERATIONS. LLC
CHEYENNE ORAL & MAXILLOFACIAL SURG ASSOC
CHEYENNE ORAL & MAXILLOFACIAL SURG ASSOC
CHEYENNE ORAL & MAXILLOFACIAL SURG ASSOC
CHEYENNE ORTHOPAEDICS LLP
CHEYENNE ORTHOPAEDICS, PC
CHEYENNE ORTHOPAEDICS, PC
CHEYENNE ORTHOPAEDICS, PC
CHEYENNE RADIOLOGY GROUP, PC
CHEYENNE RADIOLOGY GROUP, PC
CHEYENNE RADIOLOGY GROUP, PC
CHEYENNE RADIOLOGY GROUP, PC
CHEYENNE RADIOLOGY GROUP, PC
CHEYENNE RADIOLOGY GROUP, PC
CHEYENNE RADIOLOGY GROUP, PC
CHEYENNE RADIOLOGY GROUP, PC
CHEYENNE RADIOLOGY GROUP, PC
CHEYENNE REGIONAL MEDICAL CENTER
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
ADDRESS1
2003 BLUEGRASS CR
2003 BLUEGRASS CIR
2003 BLUEGRASS CR
2003 BLUEGRASS CR
2301 HOUSE AVE STE 400
2301 HOUSE AVE STE 400
2301 HOUSE AVE STE 400
2301 HOUSE AVE STE 400
2301 HOUSE AVE STE 400
2301 HOUSE AVE STE 400
2301 HOUSE AVE STE 400
2301 HOUSE AVE STE 400
CHEYENNE OBSTETRICS AND GYNECOLOGY
2301 HOUSE AVE STE 400
2301 HOUSE AVE STE 400
1300 E 20TH ST
1330 PRAIRIE AVE
6238 YELLOWSTONE RD
6238 YELLOWSTONE RD
CHEYENNE ORAL & MAXILLOFACIAL SURG ASSOC
2301 HOUSE AVE STE 505
2301 HOUSE AVE STE 505
2301 HOUSE AVE STE 505
2301 HOUSE AVE STE 505
2003 BLUEGRASS CR
2003 BLUEGRASS CIR
2003 BLUEGRASS CR
2003 BLUEGRASS CR
2003 BLUEGRASS CR
2003 BLUEGRASS CR
2003 BLUEGRASS CIR
2003 BLUEGRASS CR
2003 BLUEGRASS CR
214 EAST 23RD ST
2600 E 18TH ST.
CRMC INPATIENT
CHEYENNE REGIONAL MEDICAL CENTER-BHS
CRPG FAMILY MEDICINE
2600 E 18TH ST
2600 E 18TH ST
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
1600 E 23RD ST
1950 BLUEGRASS CR
2600 E 18TH ST
2600 E 18TH ST
2301 HOUSE AVE STE 502
214 E. 23 RD ST.
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
214 E 23RD ST
CRMC INPATIENT
PO BOX 20970
2600 E 18TH ST
214 E 23RD ST
214 E 23RD ST
PO BOX 20970
CHEYENNE REGIONAL MEDICAL CENTER
214 E 23RD ST
PO BOX 20970
PO BOX 20970
PO BOX 20970
214 E 23RD ST
PO BOX 20970
2600 E 18TH ST
214 E 23RD ST
2301 HOUSE AVE, STE 500
214 E 23RD ST
PO BOX 20970
PO BOX 20970
2600 E 18TH ST
2600 E 18TH ST 2ND FL
PO BOX 20970
CRMC OUTPATIENT
CHEYENNE REGIONAL MEDICAL CENTER INPATIENT
PO BOX 20970
2600 E 18TH ST
PO BOX 20970
214 E 23RD ST
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
PO BOX 20970
2600 E18TH ST
PO BOX 20970
ADDRESS2
2301 HOUSE AVENUE STE. 400
6238 YELLOWSTONE RD
214 E 23RD ST
2600 E. 18TH ST.
421 E. 17TH
214 E. 24TH ST.
214 E 23RD ST.
214 E 23RD ST.
214 E. 23RD ST
214 E 23RD ST
214 E 23RD ST
214 E. 23RD ST.
CITY
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82009
82009
82009
82009
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82009
82009
82009
82009
82001
82001
82001
82001
82009
82009
82009
82009
82009
82009
82009
82009
82009
82001
82001
820013748
82001
820014609
82001
82001
82001
82001
82009
820015511
82001
82001
82001
82001
82001
820013748
82003
82001
82001
82001
82003
82001
82001
82003
82001
82003
82001
82003
82001
82001
82001
82001
82003
82003
82001
820015511
82003
820013748
820013748
82003
82001
82003
82001
82001
82003
82001
82003
SPEC
RADR
RADR
RADR
RADR
OG
OG
OG
NP
OG
OG
MWN
NP
OG
OG
OG
CCSU
SNF
SUMF
SUMF
SUMF
RADR
OR
OR
OR
RADR
RADR
RADR
RADR
RADR
RADR
RADR
RADR
RADR
HSP
CUMH
IM
PSPS
FP
PSNP
CUMH
FP
CUMH
PSNE
CUMH
CUMH
PAC
NP
IMGI
FP
FP
PAC
CUMH
IM
IM
NP
IMHP
SUNS
DIR
DIR
PSPS
FP
RN
CUMF
FP
NP
IM
PSPS
SWC
CUMH
CUMH
DIR
IM
FP
NP
CUMH
PAC
FP
IM
OT
CUMH
IMID
SPECIALTY_DESCR
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Nurse Practitioner
Obstetrics & Gynecology
Obstetrics & Gynecology
Midwife, Certified Nurse
Nurse Practitioner
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Clinic/Center - Ambulatory Surgical
SKILLED NURSING FACILITY
Oral & Maxillofacial Surgery
Oral & Maxillofacial Surgery
Oral & Maxillofacial Surgery
Radiology - Diagnostic Radiology
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
HOSPITAL
Counselor - Mental Health
Internal Medicine
Psychiatry & Neurology - Psychiatry
Family Practice
Psychiatry & Neurology - Clinical Neurophysiology
Counselor - Mental Health
Family Practice
Counselor - Mental Health
Psychiatry & Neurology - Neurology
Counselor - Mental Health
Counselor - Mental Health
Physician Assistant
Nurse Practitioner
Internal Medicine - Gastroenterology
Family Practice
Family Practice
Physician Assistant
Counselor - Mental Health
Internal Medicine
Internal Medicine
Nurse Practitioner
Hospitalist
Neurological Surgery
Dietitian, Registered
Dietitian, Registered
Psychiatry & Neurology - Psychiatry
Family Practice
Registered Nurse
Marriage & Family Therapist
Family Practice
Nurse Practitioner
Internal Medicine
Psychiatry & Neurology - Psychiatry
Social Worker - Clinical
Counselor - Mental Health
Counselor - Mental Health
Dietitian, Registered
Internal Medicine
Family Practice
Nurse Practitioner
Counselor - Mental Health
Physician Assistant
Family Practice
Internal Medicine
Occupational Therapist
Counselor - Mental Health
Internal Medicine - Infectious Disease
Page 9 of 57
LAST_NAME
SHERARD
SIMPSON
SOHI
SOUZA
STACY
STAMPFLI
STEFKA
STOLZ
STONE-SOUKUP
SUNDARALINGAM
WALTER
WOLD
CHEYENNE HOSPICE TEAM 1
AGGARWAL
BATEZINI
BEAULIEU
BROWN
BURTON
CARLSON
CHOO
COOK
CPG OUTPATIENT IMAGING
CURRAN
DOBSON
DOBSON
DOLAN
DRAMKO
DUFFY
DUNN
ELENDU
EL-TARABILY
EMMADY
FARSTAD
FERMELIA
GRAVATT
GRUBER
HALLEY
HARNISH
HARRISON
HERBER
HOPFENSPERGER
HORAM
KANTER
KASTE
KAUR
KISICKI
LAIDLAW
LEE
LELAND
MARTIN
MCCARTHY
MEARES
MEDINA
MERKLE
MOLK
MONGER
MUNOZ
NUTTING
PICHEL
PRENTICE
PULLOS
ROSE
SARKISSIAN
SARTZ
SCHARLES
SCHIEL
SCHIEL
SCHMITZ
SCOTT
SCOTT
SHANNON
SHERARD
SMITH
STAMPFLI
STAMPFLI
STAYTON
STEPLOCK
SWARM
TANSY
TETENTA
THOMPSON
08/22/2013
FIRST_NAME
BRENT
CARYL
SUKHPREIT
CHARLES
LUCY
GREG
KRISTINA
LEISANN
LINDA
DHAKSHAYANI
MARK
DAWN
TITLE
MD
MANISH
MARISTELA
ANDREW
CRAIG
LISA
LORI
HOO
SHANNON
MD
LAURA
JOSEPH
JOSEPH
TRACY
JOSEPH
KRISTINA
DANIEL
SEBASTINE
MOHAMED
PRABHU
KATHLEEN
RICHARD
RAYNA
AMY
GRETCHEN
AMY
WILLIAM
MICHAEL
KURT
WILLIAM
ROY
SUNFLOWER
PARAMJIT
DANIEL
JANET
CHOON-KEE
ROBERT
LAURA
ANNE MARIE
A. JOHN
JONATHON
KATHRYN
GARY
ROBERT
ERIC
CATHERINE
MARISSA
ROBERT
TAKE
ANDREW
ANGELA
DENISE
KYLE
CAROL
PHILIP
GARY
MICHAEL
MICHAEL
MICHAEL
BRENT
BRUCE
DANAE
GREG
LINDSEY
ALBERT
SHALA
AARON
SODIENYE
SUSAN
PT
MD
MD
PHONE
(307) 633 3096
(307) 633 3096
3076337370
3074326483
(307) 633 3096
(307) 633 3096
(307) 633 7955
3074326629
MD
FNP-C
MD
MD
3076337016
(307) 635 9131
(307) 634 9311
(307) 635 1931
(307) 633 3575
(307) 632 1114
(307) 633 7444
(307) 635 9131
(307) 633 7779
(307) 432 0335
(307) 635 7961
3074320335
3076352562
(307) 778 1849
(307) 634 9311
(307) 432 0335
(307) 635 7961
3076321114
(307) 635 7961
(307) 778 3675
3076336114
(307) 778 2577
(307) 633 3038
(307) 633 3575
3074320335
(307) 635 7961
3074320335
(307) 778 2577
3074320535
(307) 778 2577
(307) 635 9131
(307) 634 9311
(307) 635 7961
(307) 638 7757
(307) 635 7961
(307) 635 9131
(307) 778 2577
3076337619
(307) 633 7779
(307) 635 9131
3076386624
(307) 633 6114
(307) 635 7961
(307) 635 7961
3076321114
(307) 635 7961
(307) 633 7779
3076349311
PT
PA
PA-C
(307) 635 7961
(307) 778 3675
(307) 633 3576
(307) 633 7779
(307) 637 2800
(307) 635 2562
(307) 633 7444
(307) 635 2562
(307) 635 7961
(307) 778 3675
LCSW
3076386624
(307) 633 7619
3074320335
(307) 638 7757
(307) 778 2577
CLINIC NAME
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL MEDICAL CNTR- FACILITY
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
ADDRESS1
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
PO BOX 20970
CRMC BHS
2600 E 18TH ST
214 E 23RD ST
214 E. 23RD AVE.
PALLIATIVE CARE CONSULT SERVICE
PO BOX 20970
214 E 23RD
214 E 23RD ST
PO BOX 20970
PO BOX 20970
2600 EAST 18TH ST
PULMONARY AND INTENSIVE MEDICINE
4116 LARAMIE ST
2301 HOUSE AVE STE 201
CHEYENNE REGIONAL PHYSICIANS GROUP
5201 YELLOWSTONE RD
CHEYENNE PLAZA PRIMARY CARE
2301 HOUSE AVE STE 201
800 E20TH ST STE 350
800 E 20TH ST STE 100
CRPG WYOMING ORTHOPEDICS SPORTS MEDICINE
433 E 17TH ST
433 E 17TH ST
2301 HOUSE AVE STE 200
2301 HOUSE AVE STE 405
2301 HOUSE AVE STE 203
4028 LARAMIE ST
2301 HOUSE AVE STE 201
4116 LARAMIE ST
CRPG-WYOMING NEUROLOGY
2301 HOUSE AVE STE 405
5201 YELLOWSTONE RD
2301 HOUSE AVE STE 405
5416 EDUCATION DR
421 E 17TH ST
1950 BLUEGRASS CIR STE 200
214 E 23RD ST
421 E 17TH ST
2301 HOUSE AVE STE 203
2301 HOUSE AVE STE 405
2301 HOUSE AVE STE 203
1950 BLUEGRASS CIRCLE, STE 200
2301 HOUSE AVE STE 203
CHEYENNE FAMILY MEDICINE
2301 HOUSE AVE STE 201
800 E 20TH ST STE 350
2301 HOUSE AVE STE 405
2301 HOUSE AVE STE 201
2301 HOUSE AVE STE 405
2301 HOUSE AVE STE 201
1950 BLUEGRASS CIR STE 200
2301 HOUSE AVE STE 500
WYOMING ORTHOPAEDICS
2301 HOUSE AVE STE 201
2301 HOUSE AVE #207
421 E 17TH ST
2301 HOUSE AVE STE 405
2301 HOUSE AVE, STE 405
5201 YELLOWSTONE RD
2301 HOUSE AVE STE 405
CHEYENNE PLAZA PRIMARY CARE
4116 LARAMIE ST
CPG WYOMING ORTHOPEDICS SPORTS MED
2301 HOUSE AVE STE 405
5416 EDUCATION DR
CHEYENNE REGIONAL PHYSICIANS GROUP
4028 LARAMIE STREET
CRPG WYOMING ORTHOPEDICS AND SPORTS MEDICINE
4028 LARAMIE ST
800 E 20TH ST STE 300
4028 LARAMIE ST
2301 HOUSE AVE STE 405
5416 EDUCATION DR
CHEYENNE CHILDRENS CLINIC
2301 HOUSE AVE #207
2301 HOUSE AVE STE 500
2301 HOUSE AVE STE 203
2301 HOUSE AVE STE 201
1950 BLUEGRASS CIR STE 201
ADDRESS2
214 E. 23RD ST.
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
214 E. 23RD ST. RM 7251
200 W. 17TH STREET STE. 200
421 E 17TH ST
800 E 20TH ST STE 300
4028 LARAMIE ST
2301 HOUSE AVE. STE. 203
1950 BLUEGRASS CIRCLE SUITE 200
4028 LARAMIE ST
800 E 20TH ST STE 300
4017 RAWLINS ST.
421 EAST 17TH STREET
4028 LARAMIE ST
2301 HOUSE AVE SUITE 405
CITY
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82001
82001
82001
82001
82001
82003
82003
82003
82001
82001
82003
82003
82001
82001
82009
82001
82001
82009
82001
82001
82001
820013859
820012064
82001
82001
820013177
82001
82001
82001
820037020
82009
82001
82001
82009
82001
82009
82001
82009
82001
82001
82009
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82009
82001
820012064
82001
82001
82001
82001
82001
82009
82001
820013859
82001
820012064
82001
82009
82001
82001
820012064
82001
82001
82001
82001
82009
820013178
82001
82001
82001
82001
82009
SPEC
FP
NP
PSPS
CUMH
NU
FP
IM
NU
ANPN
IM
PSPS
NP
HPC
IMPU
IMON
IM
FP
SU
NP
IM
NP
RADR
PT
FP
FP
NP
PD
PSNE
PT
IM
IMON
PSNE
CUMH
SU
PD
FP
DIR
FP
IM
FP
PSNE
PD
PSNP
NPFA
PSNE
FP
NP
IM
PD
IM
PD
IMKD
FP
DIR
OR
IMRH
SUTX
NPFA
PAC
PD
SU
PD
IM
IMHO
PT
PD
FP
SU
PAC
PAC
OR
IM
OR
PD
FP
CUMH
SUTX
NP
PSNE
IMPU
NP
SPECIALTY_DESCR
Family Practice
Nurse Practitioner
Psychiatry & Neurology - Psychiatry
Counselor - Mental Health
Nutritionist
Family Practice
Internal Medicine
Nutritionist
Anesthesiology - Pain Medicine
Internal Medicine
Psychiatry & Neurology - Psychiatry
Nurse Practitioner
HOSPICE
Internal Medicine - Pulmonary Disease
Internal Medicine - Medical Oncology
Internal Medicine
Family Practice
Surgery
Nurse Practitioner
Internal Medicine
Nurse Practitioner
Radiology - Diagnostic Radiology
Physical Therapist
Family Practice
Family Practice
Nurse Practitioner
Pediatrics
Psychiatry & Neurology - Neurology
Physical Therapist
Internal Medicine
Internal Medicine - Medical Oncology
Psychiatry & Neurology - Neurology
Counselor - Mental Health
Surgery
Pediatrics
Family Practice
Dietitian, Registered
Family Practice
Internal Medicine
Family Practice
Psychiatry & Neurology - Neurology
Pediatrics
Psychiatry & Neurology - Clinical Neurophysiology
Nurse Practitioner - Family
Psychiatry & Neurology - Neurology
Family Practice
Nurse Practitioner
Internal Medicine
Pediatrics
Internal Medicine
Pediatrics
Internal Medicine - Nephrology
Family Practice
Dietitian, Registered
Orthopaedic Surgery
Internal Medicine - Rheumatology
Transplant Surgery
Nurse Practitioner - Family
Physician Assistant
Pediatrics
Surgery
Pediatrics
Internal Medicine
Internal Medicine - Hematology & Oncology
Physical Therapist
Pediatrics
Family Practice
Surgery
Physician Assistant
Physician Assistant
Orthopaedic Surgery
Internal Medicine
Orthopaedic Surgery
Pediatrics
Family Practice
Counselor - Mental Health
Transplant Surgery
Nurse Practitioner
Psychiatry & Neurology - Neurology
Internal Medicine - Pulmonary Disease
Nurse Practitioner
Page 10 of 57
LAST_NAME
TOLGE
TULLY
VAN HORN
WATKINS
WEDELL
WEISS
WEST
WINFREY
WINTER
WINTER
WYOMING SLEEP DISORDERS CENTER
ZARZYCKI
BECK
BOURLIER-CHILDRESS
DEVAGUPTHAPUP
NAOMI
PAGE
SURDAM
SURDAM
SURDAM
WHALEY
YOST
COOPER
NEVILLE
PARISH
SURBRUGG
THOMAS
CHEYENNE SURGICAL CENTER
BRYANT
EVERETT
HARRIS
KOPP
LUGG
PRIYANKA
RAMIREZ
ALBERS
CARROLL
HOWELL
LAHIFF
SWALLA
WELLS
ANDERSON-RAY
BEVERIDGE
DILLON
HINKLE
JOHNSON
SIMS
STOREY
BAROUSSE
CASSISTA
DIETERS
DIETERS
AZARBEHI
DILMAGHANIAN
ERNST
FARRELL
PULL
SCHWARTZKOPF
SCOTT
DEUTSCH
DREDLA III
VEJCIK
ZAVERI
STRAYER
CONTINUE CARE HOME HEALTH AGENCY
COPD
FEUER
MADSEN
JOHNSON
FISHER
JUDGE
LOWE-CARPENTER
DIERENFIELD
TOWN & COUNTRY PHARMACY DME
MARTIN
BOUGSTY
MARSHALL
STRID
JOHNSON
BELVEDERE
FESLER
08/22/2013
FIRST_NAME
CELINA
LINDSAY
JENNIFER
JOSEPH
ERIC
STEVEN
SADIE
IVORY
BRET
JOHN
KATARZYNA
BRYAN
JOANN
SATEESH
SHELLEY
COREY
AMY
DANIEL
DANIEL
JASON
PATRICK
HEATHER
JULIE
CATHY
SANDRA
KATHLEEN
JOHN
RANDY
BILL
KATHERINE
JAMES
PRIYANKA
JUAN
JESSICA
MARTIN
GARRETT
JOSHUA
ASHLEY
MARK
JANET
JACQUES
LEAYN
RENE
AMANDA
LINDA
JEFFREY
JOSHUA
PAUL
JESSICA
MIKE
NIMA
OMID
CORY
ARTHUR
JOEL
JOEL
MICHAEL
JULIE
THOMAS
SCOTT
LOPA
CONNIE
DAVID
KENNETH
CYNTHIA
DANIEL
DANIEL
DIANE
STEVEN
MICHAEL
THOMAS
PRUDY
ELAINE
ELIZABETH
STEVEN
DALETTE
TITLE
MD
DO
MD
PHONE
(307) 432 0335
(307) 635 4300
(307) 634 9311
(307) 432 0335
(307) 633 7444
(307) 635 7961
(307) 778 3675
(307) 635 4300
3076354300
3076384733
(307) 635 7961
(307) 773 8133
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(307) 426 4676
(307) 773 8133
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MD
PAC
MD
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MD
CNM
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(307) 773 8133
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(307) 635 0226
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3076350226
(307) 633 8121
(307) 635 4131
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(307) 635 4131
(913) 578 4468
(913) 578 4468
(307) 638 6610
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(307) 638 6610
(307) 638 6610
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(307) 637 7700
(307) 637 7700
(307) 637 7700
(307) 637 7700
(307) 637 7700
(307) 637 7700
3076357727
3076357727
3072203902
3072203901
(866) 784 1043
3076372800
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MD
NP
CRNA
MSW
LCSW
CRNA
CRNA
3076372800
3076372800
(970) 495 8836
(307) 634 2020
3076322434
(307) 632 2434
(307) 274 2432
(307) 632 4448
(307) 632 4147
(307) 778 1849
(307) 778 1849
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(307) 287 6206
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(307) 634 6662
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(307) 634 1480
(307) 634 1480
3076374846
3072862851
(307) 432 3840
(307) 432 3840
CLINIC NAME
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE REGIONAL URGENT CARE LLC
CHEYENNE REGIONAL URGENT CARE LLC
CHEYENNE REGIONAL URGENT CARE LLC
CHEYENNE REGIONAL URGENT CARE LLC
CHEYENNE REGIONAL URGENT CARE LLC
CHEYENNE REGIONAL URGENT CARE LLC
CHEYENNE REGIONAL URGENT CARE LLC
CHEYENNE REGIONAL URGENT CARE LLC
CHEYENNE REGIONAL URGENT CARE LLC
CHEYENNE REGIONAL URGENT CARE LLC
CHEYENNE SKIN CLINIC, LLP
CHEYENNE SKIN CLINIC, LLP
CHEYENNE SKIN CLINIC, LLP
CHEYENNE SKIN CLINIC, LLP
CHEYENNE SKIN CLINIC, LLP
CHEYENNE SURGICAL CENTER, LLC
CHEYENNE UROLOGICAL, P.C.
CHEYENNE UROLOGICAL, P.C.
CHEYENNE UROLOGICAL, P.C.
CHEYENNE UROLOGICAL, P.C.
CHEYENNE UROLOGICAL, P.C.
CHEYENNE VAMC - PHYS
CHEYENNE VAMC - PHYS
CHEYENNE VISION CLINIC, PC
CHEYENNE VISION CLINIC, PC
CHEYENNE VISION CLINIC, PC
CHEYENNE VISION CLINIC, PC
CHEYENNE VISION CLINIC, PC
CHEYENNE VISION CLINIC, PC
CHEYENNE WOMEN'S CLINIC
CHEYENNE WOMEN'S CLINIC
CHEYENNE WOMEN'S CLINIC
CHEYENNE WOMEN'S CLINIC
CHEYENNE WOMEN'S CLINIC
CHEYENNE WOMEN'S CLINIC
CHEYENNE WOMEN'S CLINIC
CHIROPRACTIC SPORTS & WELLNESS
CHIROPRACTIC SPORTS & WELLNESS
CHOICE COUNSELING PC
CHOICE COUNSELING PC
COLLEGE DRIVE URGENT CARE
COLLEGE DRIVE URGENT CARE
COLLEGE DRIVE URGENT CARE
COLLEGE DRIVE URGENT CARE
COLLEGE DRIVE URGENT CARE
COLLEGE DRIVE URGENT CARE
COLLEGE DRIVE URGENT CARE
Colorado Health Medical Group
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
CONNIE STRAYER
CONTINUE CARE HOME HEALTH AGENCY, INC.
COPD, LLC
CRPG - CHEYENNE VASCULAR
CRPG - CHEYENNE VASCULAR
CYNTHIA JOHNSON, LPC
DANIEL J. FISHER, P.C.
DANIEL J. JUDGE, MA LPC
Diane Lowe-Carpenter, LCSW
DIERENFIELD CHIROPRACTIC HEALTH CENTER
DLN PC DBA TOWN AND COUNTRY PHARMACY
DOC MARTIN'S EAR NOSE & THROAT CLINIC
DRS. MARSHALL & BOUGSTY PSYCHOLOGISTS
DRS. MARSHALL & BOUGSTY PSYCHOLOGISTS
ELAINE R. STRID M.A., L.P.C.
ELIZABETH JOHNSON PHD LLC
EPIX ANESTHESIA CHEYENNE PC
EPIX ANESTHESIA CHEYENNE PC
ADDRESS1
2301 HOUSE AVE #203
2301 HOUSE AVE STE 500
800 E 20TH ST STE 350
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE PLAZA PRIMARY CARE
2301 HOUSE AVE STE 201
2301 HOUSE AVE STE 405
5416 EDUCATION DR
2301 HOUSE AVE STE 500
2301 HOUSE AVE STE 500
4620 GRANDVIEW AVE STE 201
2301 HOUSE AVE STE 405
CHEYENNE REGIONAL URGENT CARE
CHEYENNE REGIONAL URGENT CARE
433 E 19TH ST
CHEYENNE REGIONAL URGENT CARE
CHEYENNE REGIONAL MEDICAL CENTER URGENT CARE
433 E 19TH ST
PO BOX 426
433 E 19TH ST
433 E. 19TH ST.
CHEYENNE REGIONAL MEDICAL CENTER URGENT CARE
123 WESTERN HILLS BLVD
123 WESTERN HILLS BLVD
123 WESTERN HILLS BLVD
123 WESTERN HILLS BLVD
123 WESTERN HILLS BLVD
3235 SPARKS RD
2301 HOUSE AVE STE 502
2301 HOUSE AVE STE 502
2301 HOUSE AVE STE 502
CHEYENNE UROLOGICAL, P.C.
2301 HOUSE AVE STE 502
CHEYENNE VAMC - PHYS
CHEYENNE VAMC - PHYS
CHEYENNE VISION CLINIC
1200 E PERSHING BLVD
CHEYENNE VISION CLINIC
1200 E PERSHING BLVD
1200 E PERSHING BLVD
1200 E PERSHING BLVD
3952 PARKVIEW DR
3952 PARKVIEW DR
3952 PARKVIEW DR
3952 PARKVIEW DR
3952 PARKVIEW DR
3952 PARKVIEW DR
3952 PARKVIEW DR
1021 E LINCOLNWAY
1021 E LINCOLNWAY
1208 E PERSHING BLVD
1208 E PERSHING BLVD
COLLEGE DRIVE URGENT CARE
1215 W 31ST ST
4136 LARAMIE ST STE B
4136 LARAMIE ST STE B
COLLEGE DRIVE URGENT CARE
4136 LARAMIE ST STE B
4136 LARAMIE ST STE B
CHEYENNE MEDICAL SPECIALISTS
1300 E 20TH ST
820 E 17TH ST
820 E 17TH ST
1807 CAPITOL #101A
410 MANEWAL
2409 E 15TH ST
4140 LARAMIE ST
4140 LARAMIE ST
721 E LINCOLNWAY STE 2W
2321 DUNN AVENUE
1912 CAPITOL AVE STE 305
1620 CENTRAL AVENUE STE. 302
1802 DELL RANGE STE 1 A
514 SOUTH GREELEY HWY
126 QUINCY RD
2321 DUNN AVE.
2321 DUNN AVE.
1912 CAPITOL AVE STE 305
2622 PIONEER AVE
2301 HOUSE AVE STE. 300
2301 HOUSE AVE STE. 300
ADDRESS2
2301 HOUSE AVE, STE 203
800 E 20TH ST STE 300
433 E 19TH ST
433 E 19TH ST
433 E 19TH STREET
433 EAST 19TH STREET
433 EAST 19TH STREET
2301 HOUSE AVE STE 502
2360 E. PERSHING BLVD.
2360 E. PERSHING BLVD.
1200 E PERSHING BLVD
1200 E PERSHING BLVD
4136B LARAMIE ST.
4136B LARAMIE ST
5050 POWDERHOUSE RD.
CITY
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82001
82001
82001
82001
82001
82001
82001
82009
82001
82001
82009
82001
82001
82001
820014643
820014643
82003
82001
82001
82001
820014643
82001
82009
82009
82009
82009
82009
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
820018102
82001
82001
82001
82001
82001
820011969
82001
82001
82001
820011969
820011969
82001
82009
82001
82001
82001
82001
82009
82001
82001
82001
82001
82001
82001
82001
82009
82007
82009
82001
82001
82001
82001
820013178
820013178
SPEC
PSNE
PAC
NP
PSNE
IMEN
IMCC
PD
FP
OR
OR
LBCL
PD
EM
PAC
SU
PAC
PAC
NP
EM
EM
PAC
FP
NP
DM
NP
DM
DM
CCSU
SUUR
SUUR
SUUR
RN
SUUR
IMGE
EM
OD
OD
OD
OD
OD
OD
OG
OG
OG
OG
OG
MWN
OG
CH
CH
CUMH
CUMH
IM
FP
PAC
PAC
EM
PAC
PAC
NP
AN
FP
FP
CUMF
HHA
DE
SUVS
SUVS
CUMH
CUMH
CUMH
CU
CH
DE
OL
PY
PY
CUMH
CUMH
AN
AN
SPECIALTY_DESCR
Psychiatry & Neurology - Neurology
Physician Assistant
Nurse Practitioner
Psychiatry & Neurology - Neurology
Internal Medicine - Endocrinology, Diabetes & Metabolism
Internal Medicine - Critical Care Medicine
Pediatrics
Family Practice
Orthopaedic Surgery
Orthopaedic Surgery
Clinical Medical Laboratory
Pediatrics
Emergency Medicine
Physician Assistant
Surgery
Physician Assistant
Physician Assistant
Nurse Practitioner
Emergency Medicine
Emergency Medicine
Physician Assistant
Family Practice
Nurse Practitioner
Dermatology
Nurse Practitioner
Dermatology
Dermatology
Clinic/Center - Ambulatory Surgical
Urology
Urology
Urology
Registered Nurse
Urology
Internal Medicine - Geriatric Medicine
Emergency Medicine
Optometrist
Optometrist
Optometrist
Optometrist
Optometrist
Optometrist
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Midwife, Certified Nurse
Obstetrics & Gynecology
Chiropractor
Chiropractor
Counselor - Mental Health
Counselor - Mental Health
Internal Medicine
Family Practice
Physician Assistant
Physician Assistant
Emergency Medicine
Physician Assistant
Physician Assistant
Nurse Practitioner
Anesthesiology
Family Practice
Family Practice
Marriage & Family Therapist
HOME HEALTH AGENCY
Durable Medical Equipment & Medical Supplies
Surgery - Vascular Surgery
Surgery - Vascular Surgery
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor
Chiropractor
Durable Medical Equipment & Medical Supplies
Otolaryngology
Psychologist
Psychologist
Counselor - Mental Health
Counselor - Mental Health
Anesthesiology
Anesthesiology
Page 11 of 57
LAST_NAME
HECKER
PATTERSON
SIITERI
WELCH
HOLLY
SILVER
HAAS
NETT
FITCH
PRICE
BMA OF CHEYENNE
TURNER
WIRT
FRONTIER ACCESS & MOBILITY
ALIZADEH
BROWN
ANDERSON
AUER
BECK
BOURLIER-CHILDRESS
CARTER
DEYOUNG
GAMET
KISICKI
MCLAUGHLIN
MENDOZA
MOORE
PAGE
PATTERSON
PHELAN
STUEVEN
SURDAM
TORTORICH
FRONTIER ORTHOPEDIC SERVICES LC
PETERSON
PEXTON
FLEMING
GREENE
SMITH
SMITH
ABBOTT
BENEDICT
HANDS ON PHYSICAL THERAPY
NELSON
ROGGE
VER BURG
VER BURG
CAMPBELL
HANSEN
MITCHELL
SCOTT
SHARIF
SMITH
NELSON
CLARK
GERVAIS
KAUFFMAN
MADLER
OVERALL-BLOCK
WALTON
HOTZ
SCHNEIDER
SCHNEIDER
SCHNEIDER
IMG AMBULATORY SURGICAL CTR
DAVIS
DENDRINOS
HARTMAN
HOCKETT
IMG AMBULATORY SURGICAL CTR
JANSSEN
JUHL
KRANZ
MCRAE
MILLER
REEB
HALES
DRAPER
ROGERS
UPCHURCH
SCHAAD
08/22/2013
FIRST_NAME
CARRIE
STEVEN
ERIC
SHERRY
ROBERT
TIFFANY
THERESA
JEREMY
JOHN
FRANCES
TITLE
CRNA
CRNA
OD
DONN
TIMOTHY
KAHVEH
BRET
MICHELLE
KATHERN
BRYAN
JOANN
WILLIAM
CHRISTOPHER
JARED
JESSICA
SUSAN
MARIA
TRACEY
COREY
CARMEN
THAYER
JEREMY
DANIEL
AMY
ROBYN
BRETT
GRANT
STUART
HEATHER
MARLEY
KENNETH
LEWIS
ERIC
JEFFREY
ERIN
ERIN
REBECCA
RENEE
VALERIE
LYNN
ZAFFER
CHRISTY
ABIGAIL
RYAN
LAURA
HEATHER
KAYLA
HEIDI
RYAN
TIMOTHY
HOWARD
HOWARD
HOWARD
HARMON
KLEANTHIS
JOHN
JESSIE
MICHAEL
ELLEN
KENNETH
SCOTT
MICHAEL
STEVEN
J
JAMES
JAMIE
JANET
JANICE
DC
DC
DO
PA
MD
MD
MD
DC
DC
DPT
PT
DPT
DPT
LPC
DC
DC
PAC
MD
PHONE
(307) 432 3840
(307) 432 3840
8887969217
3076346883
3077782771
(307) 778 2771
3076344232
3076344232
(307) 426 4321
3076327677
(505) 255 8581
3076358388
3076358388
(307) 634 8522
(307) 632 1500
(307) 632 1500
3074264676
3074264676
(307) 426 4676
(307) 426 4676
3074264677
(307) 426 4676
(307) 426 4676
(307) 426 4677
3074264676
3074264676
3074264676
3074264676
3076342273
(307) 426 4676
3074264676
3074326629
(307) 637 3131
3076351073
3076351073
(307) 634 6883
3076377463
(307) 637 7463
(307) 637 7463
3076374617
(307) 235 3910
3076374617
(307) 637 4617
3076374617
(307) 235 3910
(307) 637 4617
3076319931
3076319931
3076319931
3076319931
(307) 631 9931
3076319931
3076346883
3076325901
3076325901
3076325901
(307) 632 5901
3076381228
(307) 426 4321
3074264085
3076342273
3076321957
3076342273
(307) 635 4141
(307) 635 4141
(307) 635 4141
(307) 635 4141
(307) 635 4141
(307) 635 4141
(307) 635 4141
(307) 635 4141
(307) 635 4141
(307) 635 4141
(307) 635 4141
(307) 635 4141
3076375337
(307) 638 0300
3074213830
3074264798
3076304688
CLINIC NAME
EPIX ANESTHESIA CHEYENNE PC
EPIX ANESTHESIA CHEYENNE PC
ERIC SIITERI PH D, LLC
ESPRIT ET SANTE, PC
EYE CARE CLINIC & OPTICAL, LLC
EYE CARE CLINIC & OPTICAL, LLC
FAMILY VISION CENTER
FAMILY VISION CENTER
Fitch Family Chiropractic
FRANCES L PRICE, PH D
FRESENIUS MEDICAL CARE OF CHEYENNE
FRONT RANGE BRAIN & SPINE SURGERY
FRONT RANGE BRAIN & SPINE SURGERY
FRONTIER ACCESS & MOBILITY
FRONTIER CHIROPRACTIC
FRONTIER CHIROPRACTIC
FRONTIER EMERGENCY PHYSICIANS, LLP
FRONTIER EMERGENCY PHYSICIANS, LLP
FRONTIER EMERGENCY PHYSICIANS, LLP
FRONTIER EMERGENCY PHYSICIANS, LLP
FRONTIER EMERGENCY PHYSICIANS, LLP
FRONTIER EMERGENCY PHYSICIANS, LLP
FRONTIER EMERGENCY PHYSICIANS, LLP
FRONTIER EMERGENCY PHYSICIANS, LLP
FRONTIER EMERGENCY PHYSICIANS, LLP
FRONTIER EMERGENCY PHYSICIANS, LLP
FRONTIER EMERGENCY PHYSICIANS, LLP
FRONTIER EMERGENCY PHYSICIANS, LLP
FRONTIER EMERGENCY PHYSICIANS, LLP
FRONTIER EMERGENCY PHYSICIANS, LLP
FRONTIER EMERGENCY PHYSICIANS, LLP
FRONTIER EMERGENCY PHYSICIANS, LLP
FRONTIER EMERGENCY PHYSICIANS, LLP
FRONTIER ORTHOPEDIC SERVICES PC
FRONTIER VISION CLINIC, P.C.
FRONTIER VISION CLINIC, P.C.
GRANT R FLEMING PHD
GREENE CHIROPRACTIC CLINIC
GREENE CHIROPRACTIC CLINIC
GREENE CHIROPRACTIC CLINIC
HANDS ON PHYSICAL THERAPY
HANDS ON PHYSICAL THERAPY
HANDS ON PHYSICAL THERAPY
Hands On Physical Therapy
HANDS ON PHYSICAL THERAPY
HANDS ON PHYSICAL THERAPY
Hands On Physical Therapy
HANSEN & ASSOCIATES
HANSEN & ASSOCIATES
HANSEN & ASSOCIATES
HANSEN & ASSOCIATES
HANSEN & ASSOCIATES
HANSEN & ASSOCIATES
HEALING SPIRIT, LLC
HEATHER R KAUFFMAN, D.C.
HEATHER R KAUFFMAN, D.C.
HEATHER R KAUFFMAN, D.C.
HEATHER R KAUFFMAN, D.C.
HEIDI OVERALL-BLOCK, LMFT
HOMETOWN CHIROPRACTIC
HOTZ CHIROPRACTIC WELLNESS CENTER
HOWARD A. SCHNEIDER, MD
HOWARD A. SCHNEIDER, MD
HOWARD A. SCHNEIDER, MD
IMG AMBULATORY SURGICAL CENTER
INTERNAL MEDICINE GROUP
INTERNAL MEDICINE GROUP
INTERNAL MEDICINE GROUP
INTERNAL MEDICINE GROUP
INTERNAL MEDICINE GROUP
INTERNAL MEDICINE GROUP
INTERNAL MEDICINE GROUP
INTERNAL MEDICINE GROUP
INTERNAL MEDICINE GROUP
INTERNAL MEDICINE GROUP
INTERNAL MEDICINE GROUP
J. SLOAN HALES MD
JAMES S. DRAPER CST FA
JAMIE M ROGERS, P.C.
JANET L UPCHURCH
JANICE A. SCHAAD, LCSW, PC
ADDRESS1
2301 HOUSE AVE STE. 300
2301 HOUSE AVE STE. 300
4136 LARAMIE ST STE A
1001 W 31ST ST
6228 YELLOWSTONE RD
EYE CARE CLINIC LLC
400 E 18TH ST
400 E 18TH ST
FITCH FAMILY CHROPRACTIC
5307 YELLOWSTONE RD
1111 LOGAN AVE
FRONT RANGE CENTER FOR BRAIN & SPINE
FRONT RANGE CENTER FOR BRAIN & SPINE
1207 E PERSHING BLVD
FRONTIER CHIROPRACTIC
FRONTIER CHIROPRACTIC
PO BOX 426
PO BOX 426
FRONTIER EMERGENCY PHYSICIANS
FRONTIER EMERGENCY PHYSICIANS
1807 CAPITOL AVE #201
1807 CAPITOL AVE STE 201
214 E 23RD ST
FRONTIER EMERGENCY PHYSICIANS
1807 CAPITAL AVE STE 201
1807 CAPITOL AVE STE 201
PO BOX 426
1807 CAPITAL AVE #102
214 E 23RD ST
1807 CAPITAL AVE
1807 CAPITOL AVE STE 201
PO BOX 426
214 E 23RD ST
611 E CARLSON ST STE 115
1621 LOGAN AVE
1621 LOGAN AVE
1001 W 31ST ST
1507 STILLWATER AVE #B
GREEN CHIROPRACTIC CLINIC DC
GREENE CHIROPRACTIC CLINIC PC
1331 PRAIRIE AVE STE 6
HANDS ON PHYSICAL THERAPY
1331 PRAIRIE AVE STE 6
HANDS ON PHYSICAL THERAPY
1331 PRAIRIE AVE STE 6
HANDS ON PHYSICAL THERAPY
HANDS ON PHYSICAL THERAPY
1914 THOMES AVE
1914 THOMES AVE
1914 THOMES AVE
1914 THOMES AVE
1914 THOMES AVE
1914 THOMES AVE
1001 W 31ST ST
1600 CONVERSE AVE
1600 CONVERSE AVE
1600 CONVERSE AVE
1600 CONVERSE AVE
520 E 18TH ST
HOMETOWN CHIROPRACTIC
1820 DILLON AVE STE 200B
CHEYENNE REGIONAL MEDICAL CENTER
HOWARD A SCHNEIDER MD PC
CHEYENNE REGIONAL MEDICAL CENTER
2301 HOUSE AVE STE 300
2301 HOUSE AVE STE 300
2301 HOUSE AVE STE 300
2301 HOUSE AVE STE 300
INTERNAL MEDICINE GROUP
2301 HOUSE AVE STE 300
2301 HOUSE AVE STE 300
2301 HOUSE AVE STE 300
2301 HOUSE AVE STE 300
INTERNAL MEDICINE GROUP
2301 HOUSE AVE STE 300
2301 HOUSE AVE STE 300
1920 EVANS AVE
5812 CANYON RD.
2909 BENT AVE
3124 OLD FAITHFUL RD STE 110
2622 PIONEER AVE
ADDRESS2
6228 YELLOWSTONE RD
1651 CAREY AVENUE, SUITE 2
3235 SPARKS RD
3235 SPARKS RD
207 W 17TH ST.
207 W 17TH ST.
PO BOX 426
PO BOX 426
214 E 23 ST
1507 B STILLWATER
1507 B STILLWATER
4016 LARAMIE ST
1331 PRARIE AVE., STE 6
4016 LARAMIE ST.
1331 PRARIE AVE.
1651 CAREY AVE. STE. 2
300 E 23RD ST
1331 PRAIRIE AVE STE 2
214 E 23RD ST
2301 HOUSE AVE STE 300
2301 HOUSE AVE STE 300
CITY
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
820013178
820013178
82001
82001
82009
820093432
82001
82001
82001
82009
82001
82001
82001
82001
820014411
820014411
82001
82001
82001
82001
82001
82001
82001
82003
82001
82001
82001
82003
82001
82001
82001
82001
82001
820094335
82001
82001
82001
82009
82009
82009
82009
820012064
82009
82009
82009
820012064
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82009
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82003
82001
82001
82001
SPEC
AN
AN
PY
CUMH
OD
OD
OD
OD
CH
PY
HSP
SUNS
SUNS
DE
CH
CH
EM
EM
EM
PAC
RN
EM
EM
EM
NPFA
NPFA
NP
PAC
NP
EM
EM
EM
EM
DME
OD
OD
PY
CH
CH
CH
PT
PT
PT
PT
PT
PT
PT
CUMH
CUMH
CUMH
CUMF
CCBH
CUMH
CUMH
CH
CH
CH
CH
CUMF
CH
CH
IMRH
IMRH
IMRH
ASC
IMPU
IMGI
PAC
PAC
CCSU
IM
IM
IMGI
IMGI
IM
IM
AN
STOU
CUMH
CUMH
CUMF
SPECIALTY_DESCR
Anesthesiology
Anesthesiology
Psychologist
Counselor - Mental Health
Optometrist
Optometrist
Optometrist
Optometrist
Chiropractor
Psychologist
HOSPITAL
Neurological Surgery
Neurological Surgery
Durable Medical Equipment & Medical Supplies
Chiropractor
Chiropractor
Emergency Medicine
Emergency Medicine
Emergency Medicine
Physician Assistant
Registered Nurse
Emergency Medicine
Emergency Medicine
Emergency Medicine
Nurse Practitioner - Family
Nurse Practitioner - Family
Nurse Practitioner
Physician Assistant
Nurse Practitioner
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Optometrist
Optometrist
Psychologist
Chiropractor
Chiropractor
Chiropractor
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Marriage & Family Therapist
Clinic/Center - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Chiropractor
Chiropractor
Chiropractor
Chiropractor
Marriage & Family Therapist
Chiropractor
Chiropractor
Internal Medicine - Rheumatology
Internal Medicine - Rheumatology
Internal Medicine - Rheumatology
AMBULATORY SURGERY CENTER
Internal Medicine - Pulmonary Disease
Internal Medicine - Gastroenterology
Physician Assistant
Physician Assistant
Clinic/Center - Ambulatory Surgical
Internal Medicine
Internal Medicine
Internal Medicine - Gastroenterology
Internal Medicine - Gastroenterology
Internal Medicine
Internal Medicine
Anesthesiology
Specialist/Technologist, Other - Surgical
Counselor - Mental Health
Counselor - Mental Health
Marriage & Family Therapist
Page 12 of 57
LAST_NAME
FIRST_NAME
HERRON
CHRISTOPHER
MCGARVIN
LUCINDA
MILLER
CONNIE
POST
JERRY
SHTULMAN
REBECCA
WIRTA-LEIKER
CHAITRA
FAVATA
JILL
STUBBS
JILL
WINTER
JOHN
REYNOLDS
JOHN
WILSON
KAREN
MAJERUS
KATHERINE
VANCE
KEVIN
MOUNTAIN TOWERS HEALTHCARE & REHAB CENTER
MORROW
JARED
O'HOLLERAN
LAWRENCE
SMITH-RUSSELL
GWEN
TULLY
LINDSAY
WALLACE
LISA
COCKREHAM
DEBORAH
DENNY-COLLAMER
LORI
MILLIN
LORI
SINK
JOHN
HARDSOCG
MARTIN
ADAMS
MARY
STERNITZKE
MARY ELLEN
MATHISEN
RONALD
WYLIE
SCOTT
FUCHS
TIMOTHY
BEYER
SEAN
DAY
ROBERT
EDMONDS
HOPE
GOOD
JULIAN
HOUTCHENS
LAURENCE
MEEKER
LISA
MORGAN
CHRISTOPHER
NEVINS
DEREK
O'DONNELL-WEISBECK
THERESA
PAGE
COREY
PEETE
STEPHANIE
PRINCE
MARK
SKOW-PUCEL
CHRISTINE
SPEER
CHRIS
STAHL
STEPHEN
TARDIFF
DONALD
KUHN
MICHAEL
FLUELLEN
SHERI
MALM
LINDA
PATTERSON
JAMES
YOUNG
MITZI
BAER
MARY
MORGAN
KATE
WEIGHT LOSS CENTER
KOPITNIK
THOMAS
TODD
NANCY
NIELSEN
MICHAEL
SEGAL
RADU
MANGUS
JESSICA
VASQUEZ
ELOY
NORTH STAR PHARMACY & INFUSION
HARP
JENNIFER
NORWOOD & ASSOCIATES
NEWMAN
JERROD
RIBNIK
HARLAN
PAY TO SUBSCRIBER
ANDRESEN
CHADEL
BAILLIE
JON
BARTLETT
CAROLYN
CLARK
EMILY
COX
MARY
DEGABIAN
HELEN
DEMUTH
JAMES
DICKIE
JONNA
DOWNING
JANICE
FAIRBANKS
WILLIAM
FOSTER
SHELLY
FRANK
PATRICIA
GOODMAN
LINDA
HAYS
VALERIE
HENDRICKSON
LISA
HILZER-DICKIE
JONNA
08/22/2013
TITLE
PSYD
PA-C
PSYD
NP
MD
NP
FNP
MD
PA
NP
PA
PHONE
3076327771
3076327771
(307) 632 7771
(307) 632 7771
(307) 632 7771
(307) 632 7771
3072865279
3075143231
(307) 635 4300
3076370603
(307) 634 2273
3076373404
3072861528
3076347901
3076380894
(307) 637 5600
3076343232
(307) 635 4300
3076307875
3072877847
3074218189
3076353670
3076378869
3076309377
3072200485
3076377906
3077756652
(970) 372 8396
(307) 214 0990
(307) 635 3500
(307) 635 5393
(307) 635 3500
(307) 635 5393
(307) 635 3500
(307) 635 5393
(307) 635 3500
(307) 635 5393
(307) 635 3500
(307) 635 5393
(307) 635 5393
(307) 635 3500
(307) 635 5393
(307) 635 3500
(307) 635 3500
(307) 635 5393
3077780922
3075090772
(307) 631 9931
3075090772
9702189902
3076319435
(307) 633 7779
8772664700
3076319945
(307) 632 6092
(307) 514 1300
DPT
PT
LPC
MSPPC
BA
LPC
LPN
(307) 358 9464
(307) 637 4300
(307) 638 4625
3076378281
3076386588
3076338100
3076349653
(307) 634 9653
(307) 634 9653
(307) 632 9362
(307) 634 9653
(307) 634 9653
(307) 634 9653
(307) 634 9653
(307) 634 9653
(307) 634 9653
(307) 634 9653
(307) 634 9653
3076329362
(307) 634 9653
(307) 632 9362
CLINIC NAME
JERRY POST, PSY D, PC
JERRY POST, PSY D, PC
JERRY POST, PSY D, PC
JERRY POST, PSY D, PC
JERRY POST, PSY D, PC
JERRY POST, PSY D, PC
JILL C. FAVATA, LPC
JILL STUBBS, MS LPC
JOHN E WINTER, M.D.
JOHN M. REYNOLDS, LCSW
KAREN WILSON RNFA
KATHERINE N MAJERUS
KEVIN VANCE MS LMFT
KINDRED NURSING CENTERS WEST, LLC
LARAMIE COUNTY CHIROPRACTIC, LLC
LAWRENCE W. O'HOLLERAN M.D.
LIFEPLAN FOUNDATION FOR EXCELLENCE
LINDSAY N TULLY, PA-C
LISA M. WALLACE, MA, LPC
LIVING POSITIVELY ON PURPOSE, PC
LORI DENNY-COLLAMER, LCSW
LORI MILLIN CST
MAGIC CITY ENTERPRISES, INC
MARTIN L. HARDSOCG, MA, NCC, P.C.
MARY ADAMS MA, LPC
MARY ELLEN STERNITZKE, PH.D
MATHISEN OPTOMETRY
MEDICAL PSYCHOLOGY ASSOCIATES
MEDICATION MANAGEMENT SERVICES INC
MEDI-HORIZONS
MEDI-HORIZONS
MEDI-HORIZONS
MEDI-HORIZONS
MEDI-HORIZONS
MEDI-HORIZONS
MEDI-HORIZONS
MEDI-HORIZONS
MEDI-HORIZONS
MEDI-HORIZONS
MEDI-HORIZONS
MEDI-HORIZONS
MEDI-HORIZONS
MEDI-HORIZONS
MEDI-HORIZONS
MEDI-HORIZONS
MICHAEL P KUHN, MD
MIND SPA INC
MIND SPA INC
MIND SPA INC
MITZI YOUNG, LCSW
MONARCH COUNSELING, LLC
Morgan, Kate E RD
Morgan, Kate E RD
Mountain View Clinic
NANCY L. TODD, LCSW, LLC
NIELSEN CHIROPRACTIC, PC
NORTH CHEYENNE FAMILY MEDICINE
North Platte Physical Therapy LLC
North Platte Physical Therapy LLC
NORTH STAR PHARMACY & INFUSION
NORTHERN STAR COUNSELING LLC
NORWOOD AND ASSOCIATES, PC
OPTIMIZE CHIROPRACTIC, PC
PAIN CONSULTANTS OF THE ROCKIES P.C.
Pay to Subscriber
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
ADDRESS1
1401 AIRPORT PKWY STE 120
1950 BLUEGRASS CIR
1401 AIRPORT PKWY STE 120
1401 AIRPORT PKWY STE 120
JERRY POST, PSY D, PC
1401 AIRPORT PKWY STE 120
2909 BENT AVE
503 EDWARD DR
2301 HOUSE AVE STE 500
2622 PIONEER AVE
214 E 23RD ST
2622 PIONEER AVE
1111 E LINCOLNWAY STE 102
MOUNTAIN TOWERS HEALTHCARE & REHAB CENTER
611 E CARLSON ST STE 101
1616 E 19TH ST STE 8
1613 EVANS AVE
2301 HOUSE AVE STE 500
1807 CAPITOL AVE STE 101 A
507 E 18TH ST
520 E 18TH ST
308 STETSON DR
1780 WESTLAND RD
1111 EAST LINCOLN WAY STE 102
721 E LINCOLNWAY
507 E 18TH ST
1400 DELL RANGE BLVD
1620 CENTRAL AVE. STE. 302
721 E LINCOLNWAY STE 8
2030 BLUEGRASS CIR STE 250
HEALTHREACH
2030 BLUEGRASS CIR
HEALTHREACH
2030 BLUEGRASS CIR
HEALTHREACH
2030 BLUEGRASS CIR
MEDIHORIZONS DBA HEALTHREACH
2030 BLUEGRASS CIR
HEALTHREACH
2030 BLUEGRASS CIR STE 250
2030 BLUEGRASS CR
2030 BLUEGRASS CIR
2030 BLUEGRASS CIR
2030 BLUEGRASS CIR
HEALTHREACH
5307 YELLOWSTONE RD
518 E 18TH ST
1914 THOMES AVE
518 E 18TH ST STE 1
405 W 3RD AVE
2909 BENT AVE
214 E 23RD ST
421 E 17TH ST.
MOUNTAIN VIEW CLINIC
520 E 18TH ST
2500 DELL RANGE BLVD
6015 SYCAMORE RD 1ST FL
NORTH PLATTE PHYSICAL THERAPY
NORTHE PLATTE PHYSICAL THERAPY
7124 COMMINS DR STE B
NORTHERN STAR COUNSELING
756 OAKHURST DR
2220 DELL RANGE BLVD STE 102
4136 LARAMIE ST STE A
2526 SEYMOUR AVE
2526 SEYMOUR AVE
2526 SEYMOUR AVE
PEAK WELLNESS CENTER
2526 SEYMOUR AVE
PO BOX 1005
2526 SEYMOUR AVE
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
2526 SEYMOUR AVE
2526 SEYMOUR AVE
2526 SEYMOUR AVE
510 W 29TH ST
510 W 29TH ST
2526 SEYMOUR AVE
510 W 29TH ST
ADDRESS2
1401 AIRPORT PKWY STE 120
3128 BOXELDER DR
2030 BLUEGRASS CIR.
2030 BLUEGRASS CIRCLE
2030 BLUEGRASS CIR
2030 BLUEGRASS CR.
2030 BLUEGRASS CIRCLE
2030 BLUEGRASS CR
620 W 19TH ST
453 VANDEHEI AVE., STES. 130,140
453 VANDEHEI AVE SUITES 130, 140
508 E 17TH ST
2526 SEYMOUR AVE.
2526 SEYMOUR AVENUE
2526 SEYMOUR AVE
CITY
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82001
82001
82001
82001
82009
82001
82001
82009
82001
82001
82001
82001
82001
82001
82009
82001
82001
82001
82001
82201
82001
82009
82001
82001
82001
82001
82009
82001
82001
82009
82009
82009
82009
82009
82009
82009
820097328
82009
82009
82003
82009
82009
82009
82009
82009
82009
82001
82001
82007
82001
82001
820013748
820014609
82001
82001
82009
82009
820096010
820096010
82009
82001
82009
82009
82001
82009
82001
82001
82001
82001
82001
82003
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
SPEC
CUMH
CUMH
NP
PY
PYNE
PY
CUMH
CUMH
ORS
CUMH
RNFA
CUMH
CUMH
HONA
CH
SUVS
CUMH
PAC
CUMH
CUMH
CUMH
STOU
PY
CUMH
CUMH
PY
OD
PY
NP
FP
FP
FP
NP
PAC
NPFA
PAC
FP
FP
PAC
NP
IM
NP
FP
FP
PAC
OR
PY
BEH
CUMF
CUMH
CUMH
DIR
CC
SUNS
CUMH
CH
FP
PT
PT
I
CUMH
SPSP
CH
ANPN
$S
CUMH
CU
CUMH
SW
CUMH
RN
CUMH
CUMH
LPN
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
SPECIALTY_DESCR
Counselor - Mental Health
Counselor - Mental Health
Nurse Practitioner
Psychologist
Neuropsychologist
Psychologist
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Registered Nurse - First Assistant
Counselor - Mental Health
Counselor - Mental Health
Nursing Care
Chiropractor
Surgery - Vascular Surgery
Counselor - Mental Health
Physician Assistant
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Specialist/Technologist, Other - Surgical
Psychologist
Counselor - Mental Health
Counselor - Mental Health
Psychologist
Optometrist
Psychologist
Nurse Practitioner
Family Practice
Family Practice
Family Practice
Nurse Practitioner
Physician Assistant
Nurse Practitioner - Family
Physician Assistant
Family Practice
Family Practice
Physician Assistant
Nurse Practitioner
Internal Medicine
Nurse Practitioner
Family Practice
Family Practice
Physician Assistant
Orthopaedic Surgery
Psychologist
Marriage & Family Therapist
Counselor - Mental Health
Counselor - Mental Health
Dietitian, Registered
Clinic/Center
Neurological Surgery
Counselor - Mental Health
Chiropractor
Family Practice
Physical Therapist
Physical Therapist
Counselor - Mental Health
Chiropractor
Anesthesiology - Pain Medicine
Pay Subscriber
Counselor - Mental Health
Counselor
Counselor - Mental Health
Social Worker
Counselor - Mental Health
Registered Nurse
Counselor - Mental Health
Counselor - Mental Health
Licensed Practical Nurse
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Page 13 of 57
LAST_NAME
HOPFENSPERGER
HOPPER
HUGHES
JOHNSON
KECK
KELLY
KETTL
LAPKIN
LEAVITT
LEMON
LONG
LOWE
LUCAS
MADRID
MCKEE
MEEKS
MERRELL
METHNER
MILLER
MILLIGAN
MORES
MORRIS
MYLET
NEUDA
NIELSEN
OLSON
PEAK WELLNESS CENTER
PELLECCHIA
PETERS
PETTIS
PIECZALSKA
PILCHER
RENFRO
REYNOLDS
REYNOLDS
ROBINETT
ROBINETT
ROGERS
SIGWARD
SIMPSON
SPRENGER
STAYTON
TERRY
TERRY
WARNER
WEST
KLEIN-ESCAMILLA
CHRISTIAN
EARNSHAW
BURSTEN
CLEWS
DAVIS
EMAMI
KASSEL
KERBER
MACKEY
MUFTI
ORAHOVATS
PERAKOS
POPOVA-ORAHOVATS
LOGAN
QUORUM ORTHOPEDICS, INC.
FUNK
HAUG
LUDWIG
VAN VRANKEN
RUBECK
GARDNER
CARD
FARRELL
RECOB
ROSS
SMART SPORTS MEDICINE
WARD
JOHNSON
ROMANO
ROSS
ROSS
SILVER
CARLTON
DICKERSON
08/22/2013
FIRST_NAME
KATHRYN
THERESA
SAMANTHA
TAMIEKA
KRYSTEN
MARY
STEPHANIE
PATRICIA
CAROLYN
VALERIE
GREGORY
AMY
DONNA
JOSEPH
MICHAEL
KARLA
ARTHUR
STEVEN
SHERYL
NATALIE
MARIA
JOANNA
MONNIE
AURELIA
KAREN
JULIE
MICHAEL
JAMES
ERNEST
MARTA
HYE SUK
ELAINE
KRYSTLE
TODD
DEBORAH
JAMES
AMY
DONNA
JENNIFER
DARCI
LINDSAY
LEA
MICHELLE
FRANKIE
LINDA
PEGGY
AMY
DEBBIE
MARIAN
RICHARD
CAROL
SARVIN
MATTHEW
MARY
CHARLES
KASHIF
DIMITER
PETER
GERGANA
ROBERT
ROBERT
RODNEY
ROGER
RUTH
SHERRI
SHERRY
TERESA
TRACY
MYRON
VINCENT
SHELLY
PAUL
JOHN
JONATHAN
JONATHAN
MARTHA
JEFFREY
DON
TITLE
LPC
MSW
LCSW
PHD
RN
PHONE
(307) 634 9653
(307) 634 9653
(307) 632 9362
(307) 637 3953
(307) 634 9653
(307) 634 9653
(307) 634 9653
(307) 634 9653
(307) 634 9653
(307) 634 9653
(307) 634 9653
3076349653
(307) 637 3953
(307) 637 3953
(307) 637 3953
(307) 634 9653
3076329362
(307) 634 9653
(307) 634 9653
(307) 634 9653
(307) 632 9362
(307) 634 9653
(307) 632 9362
(307) 634 9653
(307) 632 9362
(307) 634 9653
3076349653
(307) 634 9653
3076329362
(307) 745 8915
(307) 426 4739
(307) 632 9362
(307) 634 9653
3076349653
(307) 634 9653
(307) 634 9653
(307) 632 9362
(307) 637 3953
(307) 632 9362
(307) 632 9362
(307) 634 9653
(307) 632 9362
(307) 632 9362
(307) 634 9653
(307) 634 2763
3076381228
(307) 742 6222
3077010945
(307) 634 1311
(307) 634 1311
(307) 634 1311
(307) 634 1311
(307) 634 1311
(307) 634 1311
(307) 634 1311
(307) 634 1311
(307) 634 1311
(307) 634 1311
(307) 634 1311
(307) 679 0844
(307) 778 6595
6202902674
3072142888
3076375004
3076376146
(307) 221 9791
(307) 426 4315
3076327677
3076327677
3076327677
(307) 632 7677
3076327677
3076327677
3076325589
3076325589
3076325589
3076342273
3076325589
3076375339
3076375339
CLINIC NAME
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEGGY KLEIN-ESCAMILLA, LLC
PENDLEY AND ASSOCIATES, INC.
PERSONAL POWER COUNSELING SERVICES
POUDRE VALLEY MEDICAL GROUP
POUDRE VALLEY MEDICAL GROUP
POUDRE VALLEY MEDICAL GROUP
POUDRE VALLEY MEDICAL GROUP
POUDRE VALLEY MEDICAL GROUP
POUDRE VALLEY MEDICAL GROUP
POUDRE VALLEY MEDICAL GROUP
POUDRE VALLEY MEDICAL GROUP
POUDRE VALLEY MEDICAL GROUP
POUDRE VALLEY MEDICAL GROUP
POUDRE VALLEY MEDICAL GROUP
QUALITY MENTAL HEALTH
QUORUM ORTHOPEDICS, INC
ROBERT E. FUNK, LPC
Rodney Haug PhD
ROGER A. LUDWIG, PC
RUTH ANN VAN VRANKEN, PH.D
SHERRI J. RUBECK
SHERRY GARDNER PSY.D
SMART SPORTS MEDICINE CENTER
SMART SPORTS MEDICINE CENTER
SMART SPORTS MEDICINE CENTER
SMART SPORTS MEDICINE CENTER
SMART SPORTS MEDICINE CENTER
SMART SPORTS MEDICINE CENTER
SOUTHEAST WYOMING EAR, NOSE & THROAT
SOUTHEAST WYOMING EAR, NOSE & THROAT
SOUTHEAST WYOMING EAR, NOSE & THROAT
SOUTHEAST WYOMING EAR, NOSE & THROAT
SOUTHEAST WYOMING EAR, NOSE & THROAT
SOUTHEAST WYOMING RADIATION ONCOLOGY, PC
SOUTHEAST WYOMING RADIATION ONCOLOGY, PC
ADDRESS1
2526 SEYMOUR AVE
2526 SEYMOUR AVE
PEAK WELLNESS CENTER
604 EAST 25TH ST
510 W 29TH ST
2526 SEYMOUR AVE
2526 SEYMOUR AVE
510 W 29TH ST
2310 E 8TH ST
2526 SEYMOUR AVE
604 E 25TH ST
2526 SEYMOUR AVE
604 E 25TH ST
604 E 25TH ST
604 E 25TH ST
510 WEST 29TH
510 W 29TH ST
2526 SEYMOUR AVE
2526 SEYMOUR AVE
2526 SEYMOUR AVE
PO BOX 1005
2526 SEYMOUR AVE.
510 W 29TH ST
2526 SEYMOUR AVE
510 W 29TH
2526 SEYMOUR AVE
PO BOX 1005
2526 SEYMOUR AVE
510 W 29TH
2526 SEYMOUR AVE.
510 W 29TH ST
510 W 29TH
2526 SEYMOUR AVE
510 W 29TH ST
2526 SEYMOUR AVE
2526 SEYMOUR AVE
2526 SEYMOUR AVE
604 E 25TH ST
510 W 29TH
510 W 29TH ST
2526 SEYMOUR AVE
PEAK WELLNESS CENTER
510 W 29TH
PO BOX 1005
2526 SEYMOUR AVE
160 ROSETTA LN
520 E 18TH ST
PENDLEY AND ASSOCIATES
108 E 18TH ST
5050 POWDERHOUSE RD
CHEYENNE MEDICAL SPECIALISTS
5050 POWDERHOUSE
5050 POWDERHOUSE RD
5050 POWDERHOUSE RD
5050 POWDERHOUSE RD
5050 POWDERHOUSE RD
5050 POWDERHOUSE RD
5050 POWDERHOUSE RD
5050 POWDERHOUSE RD
5050 POWDERHOUSE RD
4025 RAWLINS ST
1718 CAPITAL AVE
721 E LINCOLNWAY
RODNEY HAUG PHD
2315 DUNN AVE
518 E 19TH ST
1620 CENTRAL AVE #302
1107 W. 6TH AVE.
5307 YELLOWSTONE RD
5307 YELLOWSTONE RD
5307 YELLOWSTONE RD
5307 YELLOWSTONE RD
5307 YELLOWSTONE RD
5307 YELLOWSTONE RD
5320 EDUCATION DR
5320 EDUCATION DR
SOUTHEAST WYOMING EAR NOSE & THROAT CLINIC PC
UNITED MEDICAL CENTER
5320 EDUCATION DR
1920 EVANS AVE
1920 EVANS AVE
ADDRESS2
2526 SEYMOUR AVE.
510 W 29TH ST
2909 BENT AVENUE
5050 POWDERHOUSE RD.
2321 DUNN AVE
5320 EDUCATION DR
214 E 23RD ST
CITY
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82003
82001
820031005
82001
82001
82001
82003
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82003
82001
82007
82001
82001
82001
82009
82009
82009
82009
82009
82009
82009
82009
82009
82009
82009
82001
82001
82001
82001
82001
82001
82001
82001
82009
82009
82009
82009
82009
82009
82009
82009
82009
82001
82009
82001
82001
SPEC
CUMH
CUMH
CCBH
CUMH
CUMH
CUMH
CUMH
PSPS
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CU
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
PSPS
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
RN
CUMH
CUMH
CU
CUMH
FP
RN
NPFA
IM
FP
PSNE
IM
IMRH
IM
IMGI
FP
CUMH
DE
CUMH
PY
CUMH
PY
BEH
PY
PT
PT
PT
FP
PT
PT
OL
OL
AU
AU
OL
RAON
RATR
SPECIALTY_DESCR
Counselor - Mental Health
Counselor - Mental Health
Clinic/Center - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychiatry & Neurology - Psychiatry
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychiatry & Neurology - Psychiatry
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Registered Nurse
Counselor - Mental Health
Counselor - Mental Health
Counselor
Counselor - Mental Health
Family Practice
Registered Nurse
Nurse Practitioner - Family
Internal Medicine
Family Practice
Psychiatry & Neurology - Neurology
Internal Medicine
Internal Medicine - Rheumatology
Internal Medicine
Internal Medicine - Gastroenterology
Family Practice
Counselor - Mental Health
Durable Medical Equipment & Medical Supplies
Counselor - Mental Health
Psychologist
Counselor - Mental Health
Psychologist
Psychologist
Physical Therapist
Physical Therapist
Physical Therapist
Family Practice
Physical Therapist
Physical Therapist
Otolaryngology
Otolaryngology
Audiologist
Audiologist
Otolaryngology
Radiology - Radiation Oncology
Radiology - Therapeutic Radiology
Page 14 of 57
LAST_NAME
ASH
FAHY
FAULKNER
STULL
WORTMAN
NEWMAN
ANDERSON
COOK
MCKEE
CROCKER
CAMERY
TOM
BENNE
MARTIN
THOMPSON
BOUGSTY
ALGER-SCHAUFFELE
TORTORICH
QUINN
AZARBEHI
BEHRINGER
BEHRINGER
BERRY
BOYD
BRANDES
BROOMFIELD
BROOMFIELD
CABRERA
CAMPBELL
COTTAM
DENNA
FIFE
GOOD
HEALEY
JOHNSON
KHAN
KOOP
LE
MALM
MEDINA
NEVINS
ORAVEC
PARKS
PIMENTEL-JAHNS
PLONSKA
PLYBON
POST
RUHULLAH
SCHMITZ
SEHGAL
TRELEASE-BELL
WILKINS
WILSON
YOST
O'HOLLERAN
LISEK
WALGREENS #5838
RASHKOW
WATSON
WESTERN CPAP
WESTERN SLEEP MEDICINE, LLC
STEVENS
CHAMBERLAIN
WYATT
FRYMAN
GIRANY
HATTEL
HATTEL
RESHESKE
WILHELM
BLAIR
PURIFOY
WOPS INC
ROSS
WYOMING MEDICAID
WYOMING MEDICAID
LATENDRESSE
MITTEN
WILSON
WYOMING PHYSICAL THERAPY
LONGSTREET
08/22/2013
FIRST_NAME
KENNETH
SHANNON
EARL
TODD
STEPHANIE
STEVEN
TRACEY
JUDSON
KELLI
SYLVIA
TAMMY
TANYA
RYAN
CAROLE
MICHAEL
THOMAS
TOMA
AMY
PATRICK
NIMA
JEFFREY
KRISTINA
MILLARD
CHRISTOPHER
LISA
JAMES
KIMBERLY
JED
CAROL
TAMARA
PAUL
KATIE
JULIAN
JOHN
CARA
AFZAL
TAMMY
THANH-THAO
RONALD
JONATHON
DEREK
ROBERT
DOUGLAS
JENNIFER
JOANNA
SANDRA
JERRY
YUSUF
GARY
MAIDA
AMY
ANNA
AARON
PATRICK
LAWRENCE
VICTOR
ANDREW
WENDY
RHONDA
WILLADEEN
WILLIAM
JENNIFER
JILL
DIANE
LARRY
JULIE
ELLEN
KATHY
KIMBERLY
JONATHAN
AMY
JOANNE
DOUGLAS
KARYN
TITLE
PHONE
MSW
(307) 424 4798
3074244798
(307) 424 4798
3074210100
3072209099
(307) 631 4212
3076329261
(307) 632 9261
3077611915
3072148190
3076382164
3076340795
3076344100
3076377055
(307) 634 1480
3076307451
MD
FNP
DO
MD
MD
3076345049
(307) 632 2434
3076322434
3076322434
(307) 632 2434
(307) 632 2434
(307) 634 3510
(307) 632 2434
(307) 632 2434
(307) 634 3510
(307) 632 2434
(307) 632 2434
3076322434
3076322434
(307) 632 2434
(307) 632 2434
3076322434
3076322434
3076322434
3076322434
(307) 632 2434
(307) 632 2434
(307) 632 2434
3076322434
(307) 632 2434
3076322434
3076322434
3076322434
3076322434
3076322434
3076322434
3076322434
(307) 632 2434
(307) 632 2434
3076322434
(307) 632 2434
(307) 635 0226
3076346883
3076350241
3076371600
3076380300
(307) 426 4012
3074264012
3076343452
(307) 631 6527
(307) 638 8987
(307) 638 8975
(307) 638 8975
(307) 638 8975
(307) 638 8975
(307) 638 8975
(307) 638 8975
3076374617
3076346095
(307) 634 1311
(307) 632 8224
(307) 777 5500
3077720955
3077720955
3077720955
3077720955
3076389769
CLINIC NAME
SPECIALTY COUNSELING & CONSULTING LLC
SPECIALTY COUNSELING & CONSULTING LLC
SPECIALTY COUNSELING & CONSULTING LLC
SPECIALTY COUNSELING & CONSULTING LLC
STEPHANIE WORTMAN, LCSW
STEVEN D NEWMAN PSYD ABPP
SUMMIT SPINE & NEUROSURGERY ASSOCIATES
SUMMIT SPINE & NEUROSURGERY ASSOCIATES
SUMMIT SPINE & NEUROSURGERY ASSOCIATES
SYLVIA F. CROCKER, MS PH.D
TAMMY JO CAMERY, LCSW
TANYA L. TOM, PH.D
THE CHIROPRACTIC CLINIC
THE HEARING CENTER, INC.
THE PLACE FOR CHIROPRACTIC
THOMAS BOUGSTY PH.D
TOMARICK LTD/ MOBILE HEALTH SR
Tortorich, Amy P. DO
TRILIFE PROVISIONS DBA MIKE QUINN DC
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
UNIV OF WYOMING FAMILY MEDICINE
VEIN TREATMENT CENTER, LLC
VICTOR J. LISEK, PH.D., P.C.
WALGREENS
WASHAKIE MEDICAL CENTER
WENDY J. WATSON, CST, CSFA
WESTERN CPAP SUPPLY, LLC
WESTERN SLEEP MEDICINE, LLC
WILE EYES, INC.
WILLADEEN CHAMBERLAIN, M.ED
WILLIAM J. WYATT M.D.
WILLOW CREEK FAMILY MEDICINE
WILLOW CREEK FAMILY MEDICINE
WILLOW CREEK FAMILY MEDICINE
WILLOW CREEK FAMILY MEDICINE
WILLOW CREEK FAMILY MEDICINE
WILLOW CREEK FAMILY MEDICINE
WIND CITY PHYSICAL THERAPY
WINDY CITY WELLNESS PC
WOPS INC
WYOMING HEARING CLINIC
WYOMING MEDICAID
WYOMING MEDICAID
WYOMING PHYSICAL THERAPY, P.C.
WYOMING PHYSICAL THERAPY, P.C.
WYOMING PHYSICAL THERAPY, P.C.
WYOMING PHYSICAL THERAPY, P.C.
Wyoming Speech & Learning Center
ADDRESS1
4025 RAWLINS ST
SPECIALTY COUNSELING & CONSULTING LLC
4025 RAWLINS ST
SPECIALTY COUNSELING & CONSULTING LLC
320 W 25TH ST STE 305
2321 DUNN AVE
SUMMIT SPINE AND NEUROSURGERY
2301 HOUSE AVE STE 505
2301 HOUSE AVE STE 505
1807 CAPITOL AVE
2909 BENT AVE
2919 THOMES AVE
2809 EVANS AVE
1921 WARREN AVE
1330 RIDGE RD STE 3
2321 DUNN AVE.
322 W 6TH AVE
CHEYENNE REGIONAL MEDICAL CENTER
1716 WARREN AVE
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
UNIV OF WYOMING FAMILY MEDICINE
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
UW FAMILY MEDICINE
UW FAMILY MEDICINE
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
VEIN TREATMENT CENTER
1001 W 31ST ST
2302 E LINCOLNWAY
2301 HOUSE AVE STE 301
PO BOX 2417
4100 LARAMIE ST
4100 LARAMIE ST
1217 S GREELEY HWY STE B
1912 CAPITOL STE. 305
2232 DELL RANGE BLVD STE 206
4003 RAWLINS ST
4003 RAWLINS ST
4003 RAWLINS ST
4003 RAWLINS ST
4003 RAWLINS ST
4003 RAWLINS ST
1331 PRAIRIE AVE STE 6
WINDY CITY WELLNESS PC
5050 POWDERHOUSE RD
5320 EDUCATION DR
504 W 17TH ST
504 W 17TH ST
1217 A SOUTH GREELEY HWY
1217A SOUTH GREELEY HWY
1217 A SOUTH GREELEY HWY
1217 A SOUTH GREELEY HWY
WYOMING SPEECH & LEARNING CENTER
ADDRESS2
4025 RAWLINS ST
4025 RAWLINS ST
2301 HOUSE AVE STE 505
214 E. 23RD ST.
820 E 17TH ST
820 E 17TH ST
820 E 17TH ST
123 WESTERN HILLS BLVD
2320 DELL RANGE BLVD STE 300
514 E 19TH ST
CITY
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
820011900
820011900
820011900
820011900
82001
82001
820013179
82001
820013179
82001
82001
82001
82001
82001
82001
82001
82001
820013748
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
82001
820093446
82001
82001
82001
82003
82001
82001
82007
82001
82009
82001
820011800
82001
82001
82001
82001
82009
82009
82009
82009
82001
82001
82007
82007
82007
82007
82001
SPEC
PSPS
CU
PY
CU
CUMH
PY
NPFA
SUNS
PAC
CUMH
CUMH
PY
CH
AU
CH
PY
NP
EM
CH
FP
FP
FP
FP
PAC
FP
FP
FP
PAC
NP
FP
FP
FP
NP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
CUMH
FP
SU
FP
FP
FP
FP
FP
SU
CUMH
PHY
IMCV
STOU
DME
LBCL
OD
CUMH
SUPL
NP
NP
NP
IMCV
NP
NP
PT
FP
CCSU
AU
CCLS
AC
PT
PT
PT
PT
SLP
SPECIALTY_DESCR
Psychiatry & Neurology - Psychiatry
Counselor
Psychologist
Counselor
Counselor - Mental Health
Psychologist
Nurse Practitioner - Family
Neurological Surgery
Physician Assistant
Counselor - Mental Health
Counselor - Mental Health
Psychologist
Chiropractor
Audiologist
Chiropractor
Psychologist
Nurse Practitioner
Emergency Medicine
Chiropractor
Family Practice
Family Practice
Family Practice
Family Practice
Physician Assistant
Family Practice
Family Practice
Family Practice
Physician Assistant
Nurse Practitioner
Family Practice
Family Practice
Family Practice
Nurse Practitioner
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Counselor - Mental Health
Family Practice
Surgery
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Surgery
Counselor - Mental Health
Pharmacy
Internal Medicine - Cardiovascular Disease
Specialist/Technologist, Other - Surgical
Clinical Medical Laboratory
Optometrist
Counselor - Mental Health
Plastic Surgery
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner
Internal Medicine - Cardiovascular Disease
Nurse Practitioner
Nurse Practitioner
Physical Therapist
Family Practice
Clinic/Center - Ambulatory Surgical
Audiologist
Clinic/Center - Public Health, State or Local
Hospital
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Speech Language Pathologist
Page 15 of 57
LAST_NAME
LONGSTREET
BEER
BEGUIN
BROUGH
YELLOWSTONE SURGERY CENTER
YELLOWSTONE SURGERY CENTER
CLARK
WINZENRIED
ALBERTSONS #807
MEDICAL CENTER PHARMACY
WALMART #1778
BROWN
HALL
JOHNSON
WILLIAMS
EMERY
LARSON
MATTINGLY
MERRITT
RILEY
SCHMIDT
GILROY
JAMIESON
RIEBEL
RICHARDSON
BILES
BILES
BILES
COUGHLIN
FULTON
HALL
KIGHT
STECKER
BEACHLER
FRASER
FRASER
DILLON
ANDERS
ANDES
BELL
BLAND
BOWER
BOWER
BOWER
BOWLBY
BOWLBY
BRAET THOMAS
BREWER
BRUSCHWEIN
BURKE
BYORTH
CABELL
CANTY
CURTIS
DARBY
DUDCZAK
DYKSTRA
FABRIZIO
GADDY
GRAEVE
GUNVILLE
HERBERT
HILL
HINES
JONES
JOSEPH
KELKER
KLEE
KLEE
KLEMAN
KNIGHT
LEHNHERR
LINDENBAUM
LUCE
MACK
MAININI
MAININI
MAININI
MCCUE
MCCUE
MCGUIRE
08/22/2013
FIRST_NAME
KARYN
STEVEN
ANDREW
KYLIE
TITLE
GREGORY
JAY
LYNDA
JACQUELINE
JUDE
ANGELA
STEPHEN
BOYD
ADAM
CLINT
MARK
FRANK
MEGAN
CHARLES
HEATHER
MARLIN
JIMMIE
JIMMIE
JIMMIE
BRADLEY
TROY
CINNDIE
KERRY
TIMOTHY
LAEL
D HUGH
D HUGH
MICHELLE
WILLARD
WILLARD
DOUGLAS
ZACHARY
KERRY
RYAN
RYAN
ADAIR
ADAIR
TINA
DANIELLE
DEAN
JAMES
PAUL
KAREN
BRYAN
JENNIFER
RONALD
BARBARA
ALDEN
ELIZABETH
MARY
JONATHAN
FRED
LAWRENCE
KERI
JONIE
MARK
ROBERT
PAUL
LAWRENCE
LAWRENCE
GAIL
GEORGE
DAVID
JEFFREY
MELINDA
JAMES
STEPHEN
STEPHEN
STEPHEN
GREGORY
GREGORY
HEATHER
PA-C
MD
PHONE
3077782860
3077782860
3077782860
(307) 635 7070
3076357070
(307) 527 7100
8775097100
3075277426
3075276221
3075275746
(307) 587 9866
3075879866
3075879866
3075879866
3075781952
3075781955
3075781955
3075781955
3075781955
3075781977
(307) 587 5545
(307) 587 5545
(307) 587 5545
3075878850
3075781970
3075872139
3075277501
3075781900
3075781970
3075781971
3075271970
3075781970
3075279191
3077542267
3077542267
4062528346
3075277561
MD
3075277561
3075277561
8003327156
3075277561
3075277501
3075277561
3075277501
3075277561
8003327156
8003327156
3075277561
3075277561
3075277561
8003327156
3075277561
8003327156
3075277561
8003327156
3075277561
3075277561
8003327156
3075277561
3075277561
3075277561
8003327156
3075277561
3075277561
8003327156
3075277561
3075277501
3075277561
3075277561
3075277561
8003327156
3075277561
3075277561
3075277561
3075872139
3075277501
3075277561
3075277501
3075277561
CLINIC NAME
WYOMING SPEECH AND LANGUAGE
WYOMING SPINE & NEUROSURGERY ASSOC, LLC
WYOMING SPINE & NEUROSURGERY ASSOC, LLC
WYOMING SPINE & NEUROSURGERY ASSOC, LLC
YELLOWSTONE SURGERY CENTER
YELLOWSTONE SURGERY CENTER
ABSAROKA ORTHOPAEDICS
ABSAROKA ORTHOPAEDICS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANTAGE REHAB
ADVANTAGE REHAB
ADVANTAGE REHAB
ADVANTAGE REHAB
BEARTOOTH ORTHOPAEDIC & SPINE, PC
BEARTOOTH ORTHOPAEDIC & SPINE, PC
BIG HORN BASIN BONE & JOINT
BIG HORN BASIN BONE & JOINT
BIG HORN BASIN BONE & JOINT
BIG HORN BASIN BONE & JOINT
BIG HORN BASIN CHILDREN'S CLINIC
BIG HORN BASIN CHILDREN'S CLINIC
BIG HORN BASIN CHILDREN'S CLINIC
BIG HORN BASIN CHIROPRACTIC CLINIC
BIG HORN BASIN ORTHOPEDIC CLINIC, P.C.
BIG HORN BASIN ORTHOPEDIC CLINIC, P.C.
BIG HORN BASIN ORTHOPEDIC CLINIC, P.C.
BIG HORN BASIN ORTHOPEDIC CLINIC, P.C.
BIG HORN BASIN ORTHOPEDIC CLINIC, P.C.
BIG HORN BASIN ORTHOPEDIC CLINIC, P.C.
BIG HORN BASIN ORTHOPEDIC CLINIC, P.C.
BIG HORN BASIN ORTHOPEDIC CLINIC, P.C.
BIG HORN FOOT CLINIC, P.C.
BIG HORN FOOT CLINIC, P.C.
BIG HORN FOOT CLINIC, P.C.
BIG SKY ULTRASOUND, LLC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
ADDRESS1
514 E 19TH ST
1950 BLUEGRASS CIR STE 170
1950 BLUEGRASS CIRCLE, STE 170
1950 BLUEGRASS CIR STE 170
2301 HOUSE AVE STE 200
2301 HOUSE AVE STE 200
424 YELLOWSTONE AVE #140
424 YELLOWSTONE AVE #140
1825 17TH ST
721 SHERIDAN AVE
321 YELLOWSTONE AVE
1726 BECK AVE
ADVANTAGE REHAB
ADVANTAGE REHAB
ADVANTAGE REHAB
720 LINDSAY LN STE C
720 LINDSAY LN STE C
720 LINDSAY LN STE C
720 LINDSAY LN STE C
720 LINDSAY LN STE C
720 LINDSAY LN STE C
1220 SUNSHINE AVE STE 101
1220 SUNSHINE AVE STE 101
1220 SUNSHINE AVE STE 101
BIG HORN BASIN CHIROPRACTIC CLINIC
BIG HORN BASIN ORTHOPEDIC CLINIC
NORTHERN WYOMING SURGICAL CENTER LLC
WEST PARK HOSPITAL DISTRICT
720 LINDSAY LN, STE B
720 LINDSAY LN
720 LINDSAY LN STE B
720 LINDSAY LN STE B
720 LINDSAY LN
BIG HORN FOOT CLINIC PC
CODY OFFICE
CODY OFFICE
BIG SKY ULTRASOUND
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
BILLINGS CLINIC
BILLINGS CLINIC CODY
WEST PARK HOSPITAL DISTRICT
BILLINGS CLINIC CODY
WEST PARK HOSPITAL DISTRICT
BILLINGS CLINIC CODY
BILLINGS CLINIC
BILLINGS CLINIC
201 YELLOWSTONE AVE
CODY FAMILY PRACTICE OUTREACH
CODY FAMILY PRACTICE OUTREACH
BILLINGS CLINIC
BILLINGS CLINIC CODY
BILLINGS CLINIC
CODY FAMILY PRACTICE OUTREACH
BILLINGS CLINIC
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
BILLINGS CLINIC
CODY FAMILY PRACTICE OUTREACH
BILLINGS CLINIC CODY
CODY FAMILY PRACTICE OUTREACH
BILLINGS CLINIC
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
BILLINGS CLINIC
BILLINGS CLINIC CODY
WEST PARK HOSPITAL DISTRICT
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
BILLINGS CLINIC
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
NORTHERN WYOMING SURGICAL CENTER LLC
WEST PARK HOSPITAL DISTRICT
BILLINGS CLINIC CODY
WEST PARK HOSPITAL DISTRICT
BILLINGS CLINIC CODY
ADDRESS2
1819 SHERIDAN AVE
1819 SHERIDAN AVE
1819 SHERIDAN AVE
1620 BECK AVE
720 LINDSAY LN
732 LINDSAY LN
707 SHERIDAN AVE
424 YELLOWSTONE AVE STE 140
424 YELLOWSTONE AVE
721 SHERIDAN AVE
125 WEST YELLOWSTONE
201 W YELLOWSTONE AVE
201 YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 YELLOWSTONE AVE
201 W YELLOWSTONE AVE
707 SHERIDAN AVE
201 W YELLOWSTONE AVE
707 SHERIDAN AVE
201 W YELLOWSTONE AVE
201 YELLOWSTONE AVE
201 YELLOWSTONE AVE
201 YELLOWSTONE AVE
201 YELLOWSTONE AVE
201 YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 YELLOWSTONE AVE
201 YELLOWSTONE AVE
201 YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 YELLOWSTONE AVE
201 YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 YELLOWSTONE AVE
201 YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 YELLOWSTONE AVE
201 W YELLOWSTONE AVE
707 SHERIDAN AVE
201 W YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 W YELLOWSTONE AVE
732 LINDSAY LN
707 SHERIDAN AVE
201 W YELLOWSTONE AVE
707 SHERIDAN AVE
201 W YELLOWSTONE AVE
CITY
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CHEYENNE
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82001
82009
82009
82009
82001
82001
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
824143434
82414
82414
82414
82414
82414
82414
82414
82414
82414
824149313
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
SPEC
SPSP
SUNS
PAC
PAC
CCSU
ASC
PAC
OR
PHY
PHY
PHY
PT
PT
PT
PT
OR
PAC
PAC
PAC
PAC
OR
PAC
PD
PD
CH
OR
OR
OR
PAC
PT
OT
PT
PT
PO
PO
PO
RASO
IMHE
IMHO
RADR
RADR
FP
FP
FP
FP
FP
DIR
OGGY
RADR
IMON
OL
IM
RADR
FP
RADR
IMCI
IM
DIR
PSNE
RADR
PD
RADR
IMGI
FP
DM
IMHE
PD
SUUR
SUUR
DM
RADR
RADR
RADR
RE
IMEN
IM
IM
IM
FP
FP
IM
SPECIALTY_DESCR
Neurological Surgery
Physician Assistant
Physician Assistant
Clinic/Center - Ambulatory Surgical
AMBULATORY SURGERY CENTER
Physician Assistant
Orthopaedic Surgery
Pharmacy
Pharmacy
Pharmacy
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Orthopaedic Surgery
Physician Assistant
Physician Assistant
Physician Assistant
Physician Assistant
Orthopaedic Surgery
Physician Assistant
Pediatrics
Pediatrics
Chiropractor
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Physician Assistant
Physical Therapist
Occupational Therapist
Physical Therapist
Physical Therapist
Podiatrist
Podiatrist
Podiatrist
Radiology - Diagnostic Ultrasound
Internal Medicine - Hematology
Internal Medicine - Hematology & Oncology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Dietitian, Registered
Obstetrics & Gynecology - Gynecology
Radiology - Diagnostic Radiology
Internal Medicine - Medical Oncology
Otolaryngology
Internal Medicine
Radiology - Diagnostic Radiology
Family Practice
Radiology - Diagnostic Radiology
Internal Medicine - Interventional Cardiology
Internal Medicine
Dietitian, Registered
Psychiatry & Neurology - Neurology
Radiology - Diagnostic Radiology
Pediatrics
Radiology - Diagnostic Radiology
Internal Medicine - Gastroenterology
Family Practice
Dermatology
Internal Medicine - Hematology
Pediatrics
Urology
Urology
Dermatology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Physical Medicine & Rehabilitation
Internal Medicine - Endocrinology, Diabetes & Metabolism
Internal Medicine
Internal Medicine
Internal Medicine
Family Practice
Family Practice
Internal Medicine
Page 16 of 57
LAST_NAME
MELZER
MERCHANT
MISFELDT
MONTVILLE
MOORE
MORTON
MORTON
NIEVA
PAULSEN
PETERS
PETERS
PINKERTON
REYNAUD
RYAN
SAMPLE
SANTALA
SANTALA
SEGER
SILLERY
SORLI
SPAIN
SPENNY
TROTTER
TROTTER
WENTZELL
WHITTENBERGER
WHITTENBERGER
WILLIAMS
WILLIAMS
WILLIAMS
WILLIAMSON
KOLSTAD
TIPTON
DOMINICK
DOMINICK
WELCH
WELCH
WELCH
LOWTHER
SHANE
MYERS
WHITMAN
BIOMET TRAUMA & SPINE
JONES
GEE
BERGAMINI
MARCHELLO
VIPPERMAN
KNOPP
KNOPP
WILLIAMS
HOPKINS
KIM
HALE
EMERY
EMERY
SCHMIDT
SCHMIDT
SCHNEIDER
SCHNEIDER
SCHNEIDER
SCHNEIDER
SCHNEIDER
SCHNEIDER
WELCH
WELCH
NORTHERN WYOMING SURGICAL CENTER
COSTANZO
DIM
SHANE
ZUCKERMAN
HINES
HOFFMAN
JOHNSON
JOHNSON
SEU
WILLIAMS
CRUZ
CRUZ
CRUZ
KREITZMANN
08/22/2013
FIRST_NAME
RICHARD
ROBERT
DAYTON
CHRISTOPHER
LAURA
DOUGLAS
DOUGLAS
JORGE
SCOTT
ADAM
ADAM
BRUCE
ALBERT
SARAH
SCOTT
ROGER
ROGER
CLINT
JOHN
CHRISTOPHER
ROBERT
MICHELLE
JOHN
JOHN
JOSEPH
BROCK
BROCK
JEFFREY
JENNIFER
JENNIFER
STEVEN
AMANDA
ALLISON
STEVE
STEVE
CHARLES
CHARLES
CHARLES
CHRISTOPHER
MARK
DALE
SALLY
RICHARD
ALLEN
PAUL
BENJAMIN
JOHN
KEVIN
KEVIN
LISA
MATTHEW
GRACE
MATTHEW
STEPHEN
STEPHEN
FRANK
FRANK
JOHN
JOHN
JOHN
JOHN
JOHN
JOHN
BARRY
BARRY
RALPH
LEYLA
MARK
JEFFREY
JONIE
BEN
JAMES
JAMES
PHILIP
JENNIFER
RODNI
RODNI
RODNI
CHERI
TITLE
PHONE
3075277561
3075277561
3075277561
3075277561
8003327156
3075277561
3075277501
8003327156
3075277561
3075277561
3075277501
8003327156
3075277561
3075277561
3075277561
4062382500
3075277501
8003327156
3075277561
3075277561
3075277561
3075277561
3075277561
3075277501
3075277561
3075277561
3075277501
8003327156
3075277561
3075275864
3075277561
(307) 587 9789
3075879789
3075878439
3075878439
3075879800
3075872139
3075277501
(307) 587 7000
3075875591
(307) 587 1155
(307) 587 1155
8005262579
3075872404
3075781985
(307) 527 5469
3075875622
3075875622
3075781860
3075872139
(307) 527 7811
3075862324
3075277501
3072664000
3075872139
3075277501
3075872139
3075277501
3075872139
3075277501
3075870777
3075870777
3075872139
3075277501
8006549447
3075872139
(307) 587 2139
(307) 578 1970
3075875591
3075277501
3075277129
3075277129
3075872139
3075277129
3075277129
3075277129
3075873133
3075873133
3075277501
3072501338
CLINIC NAME
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
CANYON THERAPY
CANYON THERAPY
Canyon View Counseling
Canyon View Counseling
CHARLES G. WELCH, PC
CHARLES G. WELCH, PC
CHARLES G. WELCH, PC
CHRISTOPHER M. LOWTHER M.D.
CODY CHIROPRACTIC CENTER
DALE R MYERS, MD
DALE R MYERS, MD
EBI, LLC DBA BIOMET
FAMILY VISION CLINIC
FRONTIER NEUROSCIENCES
HEART MOUNTAIN CHIROPRACTIC
HEMATOLOGY ONCOLOGY CENTER
HEMATOLOGY ONCOLOGY CENTER
KAYDEE, INC
KAYDEE, INC
LISA WILLIAMS MD
Matthew V Hopkins MD Inc
MONTANA NEPHROLOGY ASSOC
Mountain View Clinic
NORTHERN ROCKIES NEUROMONITORING
NORTHERN ROCKIES NEUROMONITORING
NORTHERN ROCKIES NEUROMONITORING
NORTHERN ROCKIES NEUROMONITORING
NORTHERN ROCKIES NEUROMONITORING
NORTHERN ROCKIES NEUROMONITORING
NORTHERN ROCKIES NEURO-SPINE
NORTHERN ROCKIES NEURO-SPINE
NORTHERN ROCKIES NEURO-SPINE
NORTHERN ROCKIES NEURO-SPINE
NORTHERN WYOMING OPHTHALMOLOGY
NORTHERN WYOMING OPHTHALMOLOGY
NORTHERN WYOMING SURGICAL CENTER, LLC
Ortho Montana PSC
PHOENIX RISING COUNSELING
ProHealth Pain Relief & Wellness
RADIOLOGY INTERPRETATION SERVICES
Rocky Mountain Vein Clinic
Rocky Mountain Vein Clinic
Rocky Mountain Vein Clinic
Rocky Mountain Vein Clinic
Rocky Mountain Vein Clinic
Rocky Mountain Vein Clinic
RODNI CRUZ, MD
RODNI CRUZ, MD
RODNI CRUZ, MD
Soar Counseling Services
ADDRESS1
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
BILLINGS CLINIC
BILLINGS CLINIC CODY
WEST PARK HOSPITAL DISTRICT
BILLINGS CLINIC
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
WEST PARK HOSPITAL DISTRICT
BILLINGS CLINIC
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
CODY FAMILY PRACTICE OUTREACH
BIG HORN BASIN CANCER CENTER
WEST PARK HOSPITAL DISTRICT
BILLINGS CLINIC
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
WEST PARK HOSPITAL DISTRICT
BILLINGS CLINIC CODY
BILLINGS CLINIC CODY
WEST PARK HOSPITAL DISTRICT
BILLINGS CLINIC
BILLINGS CLINIC CODY
PULMONARY & INTERNAL MEDICINE ASSOC
BILLINGS CLINIC CODY
1726 BECK AVE
1726 BECK AVE
CANYON VIEW COUNSELING
CANYON VIEW COUNSELING
CHARLES G WELCH PC
NORTHERN WYOMING SURGICAL CENTER LLC
WEST PARK HOSPITAL DISTRICT
802 GERRANS AVE
CODY CHIROPRACTIC CENTER
1613 STAMPEDE AVE STE A
1613 STAMPEDE AVE STE A
BIOMET TRAUMA & SPINE
1708 STAMPEDE AVE
720 LINDSAY LN
HEART MOUNTAIN CHIROPRACTIC
1025 9TH ST
1025 9TH ST
KAYDEE INC
NORTHERN WYOMING SURGICAL CENTER LLC
1443 BECK AVE
MATTHEW V HOPKINS MD INC
WEST PARK HOSPITAL DISTRICT
CODY MEDICAL CLINIC
NORTHERN WYOMING SURGICAL CENTER LLC
WEST PARK HOSPITAL DISTRICT
NORTHERN WYOMING SURGICAL CENTER LLC
WEST PARK HOSPITAL DISTRICT
NORTHERN WYOMING SURGICAL CENTER LLC
WEST PARK HOSPITAL DISTRICT
NORTHERN ROCKIES NEUROSPINE
NORTHERN ROCKIES NEUROSPINE PC
NORTHERN WYOMING SURGICAL CENTER LLC
WEST PARK HOSPITAL DISTRICT
NORTHERN WYOMING OPHTHALMOLOGY PC
NORTHERN WYOMING SURGICAL CENTER LLC
732 LINDSAY LN
BIG HORN BASIN ORTHOPEDIC CLINIC
1001 14TH ST
PROHEALTH PAIN RELIEF & WELLNESS
WEST PARK HOSPITAL DISTRICT
ROCKY MOUNTAIN VEIN CLINIC
ROCKY MOUNTAIN VEIN CLINIC
NORTHERN WYOMING SURGICAL CENTER LLC
ROCKY MOUNTAIN VEIN CLINIC
ROCKY MOUNTAIN VEIN CLINIC
ROCKY MOUNTAIN VEIN CLINIC
RODNI CRUZ MD
RODNI CRUZ MD
WEST PARK HOSPITAL DISTRICT
SOAR COUNSELING SERVICES
ADDRESS2
201 W YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 YELLOWSTONE AVE
201 W YELLOWSTONE AVE
707 SHERIDAN AVE
201 YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 W YELLOWSTONE AVE
707 SHERIDAN AVE
201 YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 YELLOWSTONE AVE
1025 9TH ST
707 SHERIDAN AVE
201 YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 W YELLOWSTONE AVE
201 W YELLOWSTONE AVE
707 SHERIDAN AVE
201 W YELLOWSTONE AVE
201 W YELLOWSTONE AVE
707 SHERIDAN AVE
201 YELLOWSTONE AVE
201 W YELLOWSTONE AVE
721 SHERIDAN AVE
201 W YELLOWSTONE AVE
1735 SHERIDAN AVE STE 230
1737 SHERIDAN AVE STE 319
1613 STAMPEDE AVE STE A
732 LINDSAY LN
707 SHERIDAN AVE
1708 STAMPEDE AVE STE C
732 LINDSAY LN
1543 BLEISTEIN AVE
707 SHERIDAN AVE
732 LINDSAY LN
1438 SHERIDAN AVE STE 104
707 SHERIDAN AVE
1008 13TH ST STE A
732 LINDSAY LN
707 SHERIDAN AVE
732 LINDSAY LN
707 SHERIDAN AVE
732 LINDSAY LN
707 SHERIDAN AVE
424 YELLOWSTONE AVE 140
720 LINDSEY LN
732 LINDSAY LN
707 SHERIDAN AVE
424 YELLOWSTONE AVE STE 110
732 LINDSAY LN
720 LINDSAY LN
1708 STAMPEDE AVE STE C
707 SHERIDAN AVE
125 W YELLOWSTONE AVE
125 W YELLOWSTONE AVE
732 LINDSAY LN
125 W YELLOWSTONE AVE
125 W YELLOWSTONE AVE
125 W YELLOWSTONE AVE
1728 8TH ST
721 SHERIDAN AVE
707 SHERIDAN AVE
1285 SHERIDAN STE 260
CITY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
SPEC
SUUR
IMPU
IMHE
OGRE
IMAI
FP
FP
IMHE
RADR
FP
FP
RADR
DM
SUUR
IMCI
IMHO
IMHO
FP
RADR
IMEN
IMHE
DM
FP
FP
DM
IMHO
IMHO
DM
IM
IM
FP
PT
OT
CUMH
CUMH
SU
SU
SU
IM
CH
OGGY
PAC
DE
OD
PSNE
CH
IMHO
PAC
AN
AN
OG
PSPS
IMKD
SUNS
OR
OR
OR
OR
SUNS
SUNS
SUNS
SUNS
SUNS
SUNS
OP
OP
ASC
OR
CUMH
CH
RADR
SUVS
SUVS
TCPH
TCPH
TCPH
IM
OG
OG
OG
CUMH
SPECIALTY_DESCR
Urology
Internal Medicine - Pulmonary Disease
Internal Medicine - Hematology
Obstetrics & Gynecology - Reproductive Endocrinology
Internal Medicine - Allergy & Immunology
Family Practice
Family Practice
Internal Medicine - Hematology
Radiology - Diagnostic Radiology
Family Practice
Family Practice
Radiology - Diagnostic Radiology
Dermatology
Urology
Internal Medicine - Interventional Cardiology
Internal Medicine - Hematology & Oncology
Internal Medicine - Hematology & Oncology
Family Practice
Radiology - Diagnostic Radiology
Internal Medicine - Endocrinology, Diabetes & Metabolism
Internal Medicine - Hematology
Dermatology
Family Practice
Family Practice
Dermatology
Internal Medicine - Hematology & Oncology
Internal Medicine - Hematology & Oncology
Dermatology
Internal Medicine
Internal Medicine
Family Practice
Physical Therapist
Occupational Therapist
Counselor - Mental Health
Counselor - Mental Health
Surgery
Surgery
Surgery
Internal Medicine
Chiropractor
Obstetrics & Gynecology - Gynecology
Physician Assistant
Durable Medical Equipment & Medical Supplies
Optometrist
Psychiatry & Neurology - Neurology
Chiropractor
Internal Medicine - Hematology & Oncology
Physician Assistant
Anesthesiology
Anesthesiology
Obstetrics & Gynecology
Psychiatry & Neurology - Psychiatry
Internal Medicine - Nephrology
Neurological Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Ophthalmology
Ophthalmology
AMBULATORY SURGERY CENTER
Orthopaedic Surgery
Counselor - Mental Health
Chiropractor
Radiology - Diagnostic Radiology
Surgery - Vascular Surgery
Surgery - Vascular Surgery
Technician, Pathology - Phlebotomy
Technician, Pathology - Phlebotomy
Technician, Pathology - Phlebotomy
Internal Medicine
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Counselor - Mental Health
Page 17 of 57
LAST_NAME
BARRETT
BELGRAD
BERGER
BOWMAN
GILROY
GOODMAN
GOSLINE
HAFER
JIN CHUL
KUTSCH
SVPN-CODY RADIATION ONCOLOGY
TABRIZI
TYBURSKI
VIPPERMAN
WHITE
BARRETT
GEARHART
ANDERSON
HAI
DEIGERT
HOFFMAN
WIGGINS
WIGGINS
TASSIONE
STEWART
STEWART
SCHWIESOW
ANDERSON
ANDERSON
BEASLEY
BEAU DE LOMENIE
BEIA
BIRNEL
BOUDREAUX
COHEN
DEBENHAM
DIVINCENZO
EVANS
GAINES
HOPKINS
KNOPP
MAININI
MANDLER
MCHUGH
MONTVILLE
POLLEY
RASHKOW
SCHWIESOW
SCHWIESOW
SEGER
SLIGHT
SPIRIT MOUNTAIN HOSPICE
TROTTER
WALTON
WEST PARK HOSPITAL
WEST PARK HOSPITAL
WHALEN
WINZENRIED
BOLLINGER
BRACKE
DOTSON
HARVEY
MENELLO
PETERS
POLLEY
SIMONE
TILDEN
WRIGHT
BALCH
BARRON
BATES
COSSABOON
ESPOSITO
HOLLAND
HOPKINS
HUMPHRIES-WADSWORTH
HUMPHRIES-WADSWORTH
MCKEE
PEDRO
SKARDA
SMITH
08/22/2013
FIRST_NAME
MARY
RICHARD
PAUL
DEBRA
JEFFREY
STUART
SYLVIA
GARY
KIM
CHARLOTTE
HASSAN
CLAUDIA
JOHN
ROBERT
MARY THERESE
DAVID
RICHARD
HAMID
FREDERICK
BEN
JAMES
JAMES
DINA
GREGORY
GREGORY
JOEL
RICHARD
VICTORIA
BENJAMIN
KYLE
TODD
DEANN
BRIDGET
HARRY
KYLE
KATHLEEN
WILLIAM
MATTHEW
MATTHEW
KEVIN
STEPHEN
STEPHEN
FRANK
MARILYN
CHARLES
ANDREW
JOEL
JOEL
CLINTON
KIM
TITLE
MD
PHONE
3075873133
3075872955
3075872955
3075873133
3075872955
3075481800
3075872955
3075872955
3075872955
3075872955
3075872955
3075481800
3075873133
3075875622
3075481800
(307) 587 3133
(508) 836 3663
(406) 446 3800
3075872955
3075871257
8003327156
3075481800
3072502988
3075875131
3075277501
3075782480
MD
3075781871
DO
(307) 578 2282
(307) 527 7501
3075781860
(307) 527 7501
MD
(307) 527 7561
3075277501
3075782413
(307) 527 7501
JOHN
BETTY
(307) 527 7501
3075277501
SANDRA
JAY
KIRK
RACHEL
GARY
LISA
JOHN
STANLEY
CHARLES
KELLY
KYLE
DEREK
SHAUN
LACI
VALERIE
DANIEL
CHRISTINE
SANDRA
MATTHEW
STEVE
TERRESA
JUDSON
JAN
KELLI
SADIE
MD
3075877207
(307) 578 5657
LMFT
3075787207
3075877207
3075877207
3075877207
3075877207
3075877207
3075877207
3075872197
3075872197
(307) 587 2197
3075872197
3075872197
3075872197
3075872197
3075872197
3075872197
3075872197
3075872197
(307) 587 2197
(307) 587 2197
CLINIC NAME
ST VINCENT PHYSICIAN BILLING
ST VINCENT PHYSICIAN BILLING
ST VINCENT PHYSICIAN BILLING
ST VINCENT PHYSICIAN BILLING
ST VINCENT PHYSICIAN BILLING
ST VINCENT PHYSICIAN BILLING
ST VINCENT PHYSICIAN BILLING
ST VINCENT PHYSICIAN BILLING
ST VINCENT PHYSICIAN BILLING
ST VINCENT PHYSICIAN BILLING
ST VINCENT PHYSICIAN BILLING
ST VINCENT PHYSICIAN BILLING
ST VINCENT PHYSICIAN BILLING
ST VINCENT PHYSICIAN BILLING
ST VINCENT PHYSICIAN BILLING
ST VINCENT PHYSICIAN NETWORK
ST VINCENT PHYSICIAN NETWORK
ST. VINCENT HEALTHCARE
ST. VINCENT HEALTHCARE
ST. VINCENT PHYSICIAN NETWORK
Surgical Associates of Northern Wyoming
SVPN-Fortin Pediatric Specialty Clinic
SVPN-Fortin Pediatric Specialty Clinic
Tassione Psychological Services Inc
UROLOGICAL SRV OF NORTHERN WYO
UROLOGICAL SRV OF NORTHERN WYO
WASHAKIE MEDICAL CENTER
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL DISTRICT
WEST PARK HOSPITAL URGENT CARE CENTER
WEST PARK HOSPITAL URGENT CARE CENTER
WEST PARK HOSPITAL URGENT CARE CENTER
WEST PARK HOSPITAL URGENT CARE CENTER
WEST PARK HOSPITAL URGENT CARE CENTER
WEST PARK HOSPITAL URGENT CARE CENTER
WEST PARK HOSPITAL URGENT CARE CENTER
WEST PARK HOSPITAL URGENT CARE CENTER
WEST PARK HOSPITAL URGENT CARE CENTER
WEST PARK HOSPITAL URGENT CARE CENTER
YELLOWSTONE BEHAVIORAL HEALTH CENTER
YELLOWSTONE BEHAVIORAL HEALTH CENTER
YELLOWSTONE BEHAVIORAL HEALTH CENTER
YELLOWSTONE BEHAVIORAL HEALTH CENTER
YELLOWSTONE BEHAVIORAL HEALTH CENTER
YELLOWSTONE BEHAVIORAL HEALTH CENTER
YELLOWSTONE BEHAVIORAL HEALTH CENTER
YELLOWSTONE BEHAVIORAL HEALTH CENTER
YELLOWSTONE BEHAVIORAL HEALTH CENTER
YELLOWSTONE BEHAVIORAL HEALTH CENTER
YELLOWSTONE BEHAVIORAL HEALTH CENTER
YELLOWSTONE BEHAVIORAL HEALTH CENTER
YELLOWSTONE BEHAVIORAL HEALTH CENTER
ADDRESS1
SVPN-SISTER JOANNA BRUNER CLINIC
SVPN-CODY RADIATION ONCOLOGY
SVPN-CODY RADIATION ONCOLOGY
SVPN-CODY OBGYN
SVPN-CODY RADIATION ONCOLOGY
SVPN-CODY
SVPN-CODY RADIATION ONCOLOGY
SVPN-CODY RADIATION ONCOLOGY
SVPN-CODY RADIATION ONCOLOGY
SVPN-CODY RADIATION ONCOLOGY
SVPN-CODY RADIATION ONCOLOGY
SVPN-CODY
SVPN-SISTER JOANNA BRUNER CLINIC
SVPN-CODY MEDICAL ONCOLOGY
SVPN-CODY
ST. VINCENT PHYSICIAN NETWORK
1728 8TH ST
720 LINDSAY LN STE A
720 LINDSAY LN STE A
SVPN-CODY RADIATION ONCOLOGY
SURGICAL ASSOCIATES OF NORTHERN WYOMING
BILLINGS CLINIC
SVPN-CODY
TASSIONE PSYCHOLOGICAL SERVICES INC
UROLOGICAL SERVICES OF NORTHERN WYOMING
WEST PARK HOSPITAL DISTRICT
707 SHERIDAN AVE
707 SHERIDAN AVE
707 SHERIDAN AVE
707 SHERIDAN AVE
URGENT CARE CLINIC
WEST PARK HOSPITAL DISTRICT
707 SHERIDAN AVE
707 SHERIDAN AVE
PO BOX 773
707 SHERIDAN AVE
707 SHERIDAN AVE
707 SHERIDAN AVE
WEST PARK HOSPITAL
707 SHERIDAN AVE
PO BOX 1431
WEST PARK HOSPITAL
707 SHERIDAN AVE
707 SHERIDAN AVE
707 SHERIDAN AVE
707 SHERIDAN AVE
WEST PARK HOSPITAL DISTRICT
707 SHERIDAN AVE
707 SHERIDAN AVE
201 YELLOWSTONE AVE
WEST PARK HOSPITAL DISTRICT
SPIRIT MOUNTAIN HOSPICE
707 SHERIDAN AVE
707 SHERIDAN AVE
707 SHERIDAN AVE
707 SHERIDAN AVE
707 SHERIDAN AVE
707 SHERIDAN AVE
424 YELLOWSTONE HWY STE 120
WEST PARK HOSPITAL PRIMARY CARE
424 YELLOWSTONE AVE STE 120
424 YELLOWSTONE #120
424 YELLOWSTONE AVE, STE 120
424 YELLOWSTONE HWY STE 120
424 YELLOWSTONE HWY,STE 120
424 YELLOWSTONE HWY STE 120
424 YELLOWSTONE HWY STE 120
424 YELLOWSTONE HWY, STE 120
2538 BIG HORN AVE
2538 BIG HORN AVE
2538 BIG HORN AVE
2538 BIG HORN AVE
2538 BIG HORN AVE
2538 BIG HORN AVE
2538 BIG HORN AVE
2538 BIG HORN AVE
2538 BIG HORN AVE
2538 BIG HORN AVE
2538 BIG HORN AVE
2538 BIG HORN AVE
YELLOWSTONE BEHAVIORAL HEALTH CENTER
ADDRESS2
1728 8TH ST
1025 9TH ST
1025 9TH ST
1728 8TH ST
1025 9TH ST
720 LINDSAY LN STE A
1025 9TH ST
1025 9TH ST
1025 9TH ST
1025 9TH ST
1025 9TH ST
720 LINDSAY LN STE A
1728 8TH ST
1025 9TH ST STE B
720 LINDSAY LN STE A
1728 8TH ST.
1025 9TH ST
125 W YELLOWSTONE AVE
201 YELLOWSTONE AVE
720 LINDSAY LN STE A
1438 SHERIDAN AVE STE 106
225 W YELLOWSTONE AVE STE 9
707 SHERIDAN AVE
424 YELLOWSTONE AVE STE 12
707 SHERIDAN AVE
424 YELLOWSTONE AVE., #220
707 SHERIDAN AVE
707 SHERIDAN AVE
707 SHERIDAN AVE
707 SHERIDAN AVE
424 YELLOWSTONE AVE., #230
2538 BIG HORN AVE
CITY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
824144103
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
824149309
824149998
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
824149998
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
SPEC
OG
RAON
RAON
OG
RAON
SUNS
RADR
RAON
RAON
DM
RAON
IM
OG
IMHO
IM
SP
OG
IM
IM
RAON
SU
PDCA
PDCA
PY
SUUR
SUUR
AN
IM
CUMH
EM
EM
EM
AN
OL
AN
EM
IM
SU
IM
PSPS
AN
IM
PSNP
EM
CUMH
EM
IMCI
AN
AN
FP
IM
HSCB
FP
EM
HSP
HSP
AN
OR
FP
IM
IM
FP
FP
FP
FP
PAC
EM
EM
CUMH
PY
RN
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
SPECIALTY_DESCR
Obstetrics & Gynecology
Radiology - Radiation Oncology
Radiology - Radiation Oncology
Obstetrics & Gynecology
Radiology - Radiation Oncology
Neurological Surgery
Radiology - Diagnostic Radiology
Radiology - Radiation Oncology
Radiology - Radiation Oncology
Dermatology
Radiology - Radiation Oncology
Internal Medicine
Obstetrics & Gynecology
Internal Medicine - Hematology & Oncology
Internal Medicine
Specialist
Obstetrics & Gynecology
Internal Medicine
Internal Medicine
Radiology - Radiation Oncology
Surgery
Pediatrics - Pediatric Cardiology
Pediatrics - Pediatric Cardiology
Psychologist
Urology
Urology
Anesthesiology
Internal Medicine
Counselor - Mental Health
Emergency Medicine
Emergency Medicine
Emergency Medicine
Anesthesiology
Otolaryngology
Anesthesiology
Emergency Medicine
Internal Medicine
Surgery
Internal Medicine
Psychiatry & Neurology - Psychiatry
Anesthesiology
Internal Medicine
Psychiatry & Neurology - Clinical Neurophysiology
Emergency Medicine
Counselor - Mental Health
Emergency Medicine
Internal Medicine - Interventional Cardiology
Anesthesiology
Anesthesiology
Family Practice
Internal Medicine
Hospice Care, Community Based
Family Practice
Emergency Medicine
Hospital
HOSPITAL
Anesthesiology
Orthopaedic Surgery
Family Practice
Internal Medicine
Internal Medicine
Family Practice
Family Practice
Family Practice
Family Practice
Physician Assistant
Emergency Medicine
Emergency Medicine
Counselor - Mental Health
Psychologist
Registered Nurse
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Page 18 of 57
LAST_NAME
THOMAS
YELLOWSTONE IMAGING, LLC
BROWN
BROWN
CLEGG
CLEGG
EMERICK
SCHULTZ
SCHULTZ
YELLOWSTONE PATHOLOGISTS PC
YELLOWSTONE PATHOLOGISTS PC
CROSS
GRAHAM
MURPHY
BILES
CHACON
PHILLIPS
SCHREIBER
HARP
CLARK
PAMIDA #211
SAFEWAY PHARMACY #0467
SHATTOS FRONTIER DRUG
COOK
HOLT
LARSON
MANGUS
MCWILLIAMS
NELSON
RICHARDS
EDISS
PEARSON
STEARNS
MEMORIAL HOSPITAL OF CONVERSE COUNTY
MORGAN
HANSEN
FORSHA
TUBBS
ALLEGRETTO
CROFT
MARSO
MURPHY
NICHOLLS
IVANOV
PICKRELL
HARNETTY
KNIERIM
FITZPATRICK
GREEN
HAMILTON
JENKINS
KEENEY
MORGAN
NEFF
OTTERSBACH
SCORESBY
ZOLLER
GUIER
BALLARD
FRAZIER
BASKO
HOLCOMB
LARSEN
MAZUR
MCMENAMY
ZEISS RANEY
LEWIS
CITY DRUG UNITED DRUGS
JUBILEE PHARMACY
SMITH'S FOOD & DRUG #86
WALMART #1456
MACFARLANE
SOTH
EVANSTON COMMUNITY HEALTH CENTER
ADAMS
FOSTER
VAN BIBBER
BEST HOME HEALTH & HOSPICE
CARVER
DAVIS
HANSEN
08/22/2013
FIRST_NAME
REBECCA
TITLE
MICHAEL
MICHAEL
PAMELA
PAMELA
KERRIE
DUANE
DUANE
GREGORY
TRAVIS
MARY
JIMMIE
SHERI
MARY
CHRISTOPHER
SUSAN
DALLAS
EMILY
SETH
AMANDA
CHARLES
JESSICA
KELSEY
BONNIE
STEPHAN
DAVID
JANE
JAMES
KIMBERLY
DOUGLASS
VIRGINIA
JOSEPH
SCOTT
TERRI
MARK
DAN
OLEG
JOHN
PAUL
GABRIELE
AMY
LYNDA
ANDREW
MELISSA
STEPHANIE
VAUGHN
ANGELA
GARY
TRAVIS
KAREN
CHRISTIAN
BRIAN
CHRISTOPHER
GRANT
VIRGINIA
BENJAMIN
MICHELLE
JEFFREY
MARGARET
SANDEE
BARBARA
LAYHONG
MICHAEL
MELISSA
MICHAEL
CORRIE
KENNETH
ERIC
PT
MD
PHONE
3075872197
3075781899
3075875802
4062386363
3075875802
4062386363
4062386363
3075875802
4062386363
4062386363
4062386363
3075782582
3075782582
3075782582
3075781953
3075781953
3075781953
4062375415
(307) 279 3244
3078771000
3073583386
3073581706
3073585077
8883589464
8883589464
8883589464
8883589464
8883589464
8883589464
8883589464
3073583147
3073585556
3073580638
3073582122
3073587373
(307) 532 5355
8776890005
8776890005
(307) 358 6200
(307) 358 6200
(307) 358 6200
(307) 358 6200
(307) 358 6200
3073582122
3073582122
3074552516
3074552516
3074552516
3074552516
3074552516
3074552516
3074552516
3074552516
3074552516
3074552516
3074552516
3074552516
3074552546
3074552125
3074552125
3078577074
3078577074
3078577074
3078577074
3078577074
3078577074
3074552546
3077894000
3077893494
3077890535
3077890020
3077893636
3077893636
(307) 789 8290
(307) 789 8290
(435) 755 6061
(307) 789 8721
(307) 789 2899
(307) 789 8721
3074447773
(307) 789 8881
CLINIC NAME
YELLOWSTONE BEHAVIORAL HEALTH CENTER
YELLOWSTONE IMAGING, LLC
Yellowstone Pathologists PC
Yellowstone Pathologists PC
Yellowstone Pathologists PC
Yellowstone Pathologists PC
Yellowstone Pathologists PC
Yellowstone Pathologists PC
Yellowstone Pathologists PC
Yellowstone Pathologists PC
YELLOWSTONE PATHOLOGY INSTITUTE
YELLOWSTONE RADIOLOGY, PC
YELLOWSTONE RADIOLOGY, PC
YELLOWSTONE RADIOLOGY, PC
YELLOWSTONE SPORTS MEDICINE LLC
YELLOWSTONE SPORTS MEDICINE LLC
YELLOWSTONE SPORTS MEDICINE LLC
YELLOWSTONE UROLOGY PLLC
SOUTH LINCOLN MEDICAL CLINIC
PRO PHYSICAL THERAPY
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
BIG COUNTRY REHAB
BIG COUNTRY REHAB
BIG COUNTRY REHAB
BIG COUNTRY REHAB
BIG COUNTRY REHAB
BIG COUNTRY REHAB
BIG COUNTRY REHAB
EDISS CHIROPRACTIC INC
GRIZ-MTN ENTERPRISES, LLC
JANE STEARNS, MS, LPC
MEMORIAL HOSPITAL OF CONVERSE COUNTY
MHCC Knisley Health Center
NORTH PLATTE PHYSICAL THERAPY SERVICES
SOUTH VALLEY DERMATOLOGY
SOUTH VALLEY DERMATOLOGY
THUNDER BASIN ORTHO AND SPORTS MEDICINE
THUNDER BASIN ORTHO AND SPORTS MEDICINE
THUNDER BASIN ORTHO AND SPORTS MEDICINE
THUNDER BASIN ORTHO AND SPORTS MEDICINE
THUNDER BASIN ORTHO AND SPORTS MEDICINE
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
CHC OF CENTRAL WY INC
CHC OF CENTRAL WY INC
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
Christian A Guier MD
RIVERTON VISION CENTER PC
RIVERTON VISION CENTER PC
Teton Therapy PC
Teton Therapy PC
Teton Therapy PC
Teton Therapy PC
Teton Therapy PC
Teton Therapy PC
Wind River Health System
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
APOGEE MEDICAL GROUP-WYOMING
APOGEE MEDICAL GROUP-WYOMING
BEAR LAKE COMMUNITY HEALTH
BEAR LAKE COMMUNITY HEALTH CENTER
BEAR LAKE COMMUNITY HEALTH CENTER
BEAR RIVER UROLOGY
BEST HOME HEALTH & HOSPICE
CARVER FAMILY HEALTH, LLC
Davis Chiropractic
ERIC HANSEN, MD
ADDRESS1
2538 BIG HORN AVE
720 LINDSAY LN
PATHOLOGY CONSULTANTS PC
YELLOWSTONE PATHOLOGISTS PC
PATHOLOGY CONSULTANTS PC
YELLOWSTONE PATHOLOGISTS PC
YELLOWSTONE PATHOLOGISTS PC
PATHOLOGY CONSULTANTS PC
YELLOWSTONE PATHOLOGISTS PC
YELLOWSTONE PATHOLOGISTS PC
YELLOWSTONE PATHOLOGISTS PC
707 SHERIDAN AVE
707 SHERIDAN AVE
707 SHERIDAN AVE
720 LINDSAY LN STE B
720 LINDSAY LN STE B
720 LINDSAY LN STE B
YELLOWSTONE UROLOGY
115 PARK ST
20 ADAVILLE DR STE 10
1950 RICHARDS ST
1900 RICHARDS ST
1202 E RICHARDS ST
BIG COUNTRY REHABILITATION
BIG COUNTRY REHABILITATION
BIG COUNTRY REHABILITATION
BIG COUNTRY REHABILITATION
BIG COUNTRY REHABILITATION
BIG COUNTRY REHABILITATION
BIG COUNTRY REHABILITATION
EDISS CHIROPRACTIC INC
316 CEDAR ST
310 S 4TH ST
111 SOUTH 5TH ST
MHCC KNISLEY HEALTH CENTER
PO BOX 1790
PILOT BUTTE DERMATOLOGY
PILOT BUTTE DERMATOLOGY
PO BOX 688
PO BOX 688
PO BOX 688
PO BOX 688
111 S 5TH ST
DOUGLAS CLINIC
DOUGLAS CLINIC
DUBOIS MEDICAL CLINIC
DUBOIS MEDICAL CLINIC
DUBOIS MEDICAL CLINIC
DUBOIS MEDICAL CLINIC
DUBOIS MEDICAL CLINIC
DUBOIS MEDICAL CLINIC
DUBOIS MEDICAL CLINIC
DUBOIS MEDICAL CLINIC
DUBOIS MEDICAL CLINIC
DUBOIS MEDICAL CLINIC
DUBOIS MEDICAL CLINIC
DUBOIS MEDICAL CLINIC
DUBOIS MEDICAL CLINIC
DUBOIS VISION CENTER
DUBOIS VISION CENTER
TETON THERAPY PC
TETON THERAPY PC
TETON THERAPY PC
TETON THERAPY PC
TETON THERAPY PC
TETON THERAPY PC
DUBOIS MEDICAL CLINIC
131 10TH ST
524 FRONT ST
70 YELLOW CREEK RD
120 BECKERS CIR
190 ARROWHEAD DR
190 ARROWHEAD DR
75 YELLOW CREEK RD STE 102
75 YELLOW CREEK RD STE 102
75 YELLOW CREEK RD STE 102
191 OVERTHRUST RD.
637 FRONT ST.
191 OVERTHURST RD
DAVIS CHIROPRACTIC
150 ARROWHEAD DR STE 2
ADDRESS2
707 SHERIDAN AVE
1008 CODY AVE
707 SHERIDAN AVE
1008 CODY AVE
1008 CODY AVE
707 SHERIDAN AVE
1008 CODY AVE
1008 CODY AVE
1008 CODY AVE
721 SHERIDAN
111 S 5TH ST
111 S 5TH ST
111 S 5TH ST
111 S 5TH ST
111 S 5TH ST
111 S 5TH ST
111 S 5TH ST
1330 E RICHARDS ST
111 S 5TH ST STE 4
1954 E RICHARDS 9
1954 E RICHARDS 9
111 S 5TH ST
111 S 5TH ST
5647 US HWY 26
5647 US HWY 26
5647 US HWY 26
5647 US HWY 26
5647 US HWY 26
5647 US HWY 26
5647 US HWY 26
5647 US HWY 26
5647 US HWY 26
5647 US HWY 26
5647 US HWY 26
5647 US HWY 26
5647 US HWY 26
1203 W RAMSHORN
1203 W RAMSHORN
5645 HWY 26
5645 HWY 26
5645 HWY 26
5645 HWY 26
5645 HWY 26
5645 HWY 26
5647 US HWY 26
1101 MAIN ST
CITY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
CODY
COKEVILLE
DIAMONDVILLE
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DOUGLAS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
DUBOIS
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
82414
83114
83116
82633
82633
82633
82633
82633
82633
82633
82633
82633
82633
82633
82633
82633
82633
82633
82633
82633
82633
82633
82633
826330688
82633
826332434
82633
82633
82513
82513
82513
82513
82513
82513
82513
82513
82513
82513
82513
82513
82513
82513
82513
82513
82513
82513
82513
82513
82513
82513
82930
82930
82930
82930
82930
82930
82930
829305205
829305205
82930
82930
82930
82930
82930
SPEC
CUMH
RADR
PGAP
PGAP
PGAP
PGAP
PGAP
PGAP
PGAP
PGAP
PGAP
RADR
RADR
RADR
OR
PAC
NP
SUUR
NP
PT
PHY
PHY
PHY
PT
PT
OT
PT
OT
OT
OT
CH
CUMH
CUMH
HSP
FP
PT
DM
DM
OR
OR
PAC
OR
PAC
IMCI
IMCI
OG
FP
CUMH
FP
CUMH
PY
FP
FP
PSPS
FP
OG
FP
OR
OD
OD
OT
OT
PT
OT
OT
PT
FP
PHY
PHY
PHY
PHY
FP
IM
FP
FP
NP
SUUR
HOHE
NPFA
CH
OG
SPECIALTY_DESCR
Counselor - Mental Health
Radiology - Diagnostic Radiology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Orthopaedic Surgery
Physician Assistant
Nurse Practitioner
Urology
Nurse Practitioner
Physical Therapist
Pharmacy
Pharmacy
Pharmacy
Physical Therapist
Physical Therapist
Occupational Therapist
Physical Therapist
Occupational Therapist
Occupational Therapist
Occupational Therapist
Chiropractor
Counselor - Mental Health
Counselor - Mental Health
HOSPITAL
Family Practice
Physical Therapist
Dermatology
Dermatology
Orthopaedic Surgery
Orthopaedic Surgery
Physician Assistant
Orthopaedic Surgery
Physician Assistant
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Obstetrics & Gynecology
Family Practice
Counselor - Mental Health
Family Practice
Counselor - Mental Health
Psychologist
Family Practice
Family Practice
Psychiatry & Neurology - Psychiatry
Family Practice
Obstetrics & Gynecology
Family Practice
Orthopaedic Surgery
Optometrist
Optometrist
Occupational Therapist
Occupational Therapist
Physical Therapist
Occupational Therapist
Occupational Therapist
Physical Therapist
Family Practice
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Family Practice
Internal Medicine
Family Practice
Family Practice
Nurse Practitioner
Urology
Home Health
Nurse Practitioner - Family
Chiropractor
Obstetrics & Gynecology
Page 19 of 57
LAST_NAME
CARVER
CARVER
WILSON
ARCHER
BARRACLOUGH
EVANS
GRANT
KANJO
KAVANAUGH
KNOPF
LEVITRE
NOWICKI
SWENSON
WYLIE
FENUS
HUNT
SWINDLEHURST
DEPALMA
EVANSTON REGIONAL HOSPITAL
FULLER
JETT
KLOTZBACH
MURRAY
LARSON
HOOPES
OLSEN
YASUDA
ARENDSEE
ARENDSEE
ARENDSEE
ARENDSEE
BARBER
BARBER
BARBER
BARBER
COOK
COOK
COOK
COOK
DAVIDSON
DAVIDSON
DAVIDSON
DAVIDSON
HOOVER
GARCIA-PRIETO
FASSIO
ENTEZARI-TAHER
REYNOLDS
BOURLAND
CHING
BAKER
BARBER
CARROLL
CONGER
COOK
FACKRELL
JONES
LAVIOLA
LEWIS
LINDENFELD
LYLES
MAGGIOLO
NELSON
PRIETO
RICHARDON
WOOD
PREMIER SURGERY CENTER
FORSHA
HAACK
MONTGOMERY
BADER
BARTON
UINTA HOME HEALTH HOSPICE
UINTA HOME SLEEP TESTING LLC
BRINKERHOFF
BRINKERHOFF
CLYDE
SEGARRA
JACKETTA
REDDEN
BAGNARELLO
08/22/2013
FIRST_NAME
RICHARD
RICHARD
MARK
FRANK
BENJAMIN
KAREN
MICHAEL
TADGE
CAROL
KARRIE
JASON
EDMUND
ERIC
WESLEY
JUSTIN
TYLER
WESTON
CATHERINE
TITLE
MD
DO
DO
(307) 783 8123
(307) 789 8997
(307) 783 8123
(307) 783 8190
(307) 783 8190
8883041116
PAMELA
JULIET
CORA
JULIA
KIMBERLY
DEREK
GORDON
GREGORY
DAVID
DAVID
DAVID
DAVID
REBECCA
REBECCA
REBECCA
REBECCA
STEPHEN
STEPHEN
STEPHEN
STEPHEN
MIRIAM
MIRIAM
MIRIAM
MIRIAM
TODD
CARLOS
JOHN
MOHAMMAD
CHRISTOPHER
WILLIAM
REBECCA
ELIZABETH
REBECCA
ETTA
DOROTHY
STEPHEN
BEVERLY
NANCY
CHRIS
STEVE
ETTA
ED
JULIE
MARTY
CARLOS
IVYSUE
VICKIE
DOUGLASS
JASON
SHERI
TODD
JARED
MARK
MARK
BRENT
DAVID
MICHAEL
BRIAN
ADOLFO
PHONE
3077891219
3074443600
3077891219
(307) 783 8123
(307) 783 8136
(307) 789 8881
(307) 783 8365
(307) 783 8398
MD
(307) 789 1102
3077893636
3077896773
3077896773
3077896773
3077896773
3077890096
3077890096
(307) 789 0096
3077897777
3077892031
3077893657
3077894224
3077892031
3077892031
3077893657
3077894224
3077892031
3077892031
3077893657
3077894224
3077892031
3077892031
3077893657
3077894224
3077892031
3077890043
(307) 789 3710
8774232020
(801) 763 0901
8017630901
3077898820
(307) 789 6048
3077897915
3077897915
3077897915
3077897915
3077897915
3077897915
3077897915
3077897915
3077897915
3077897915
3077897915
3077897915
3077897915
3077897915
3077897915
3077897915
(307) 444 3600
8776890005
(307) 789 8721
3076791785
3077998640
3077898721
3077897712
3077892205
3077838068
3077838068
(801) 295 2438
(307) 783 8143
3077898860
3077898860
3076862625
CLINIC NAME
EVANSTON ANESTHESIA ASSOCIATES, LLC
EVANSTON ANESTHESIA ASSOCIATES, LLC
EVANSTON ANESTHESIA ASSOCIATES, LLC
EVANSTON CLINIC CORPORATION
EVANSTON CLINIC CORPORATION
EVANSTON CLINIC CORPORATION
EVANSTON CLINIC CORPORATION
EVANSTON CLINIC CORPORATION
EVANSTON CLINIC CORPORATION
EVANSTON CLINIC CORPORATION
EVANSTON CLINIC CORPORATION
EVANSTON CLINIC CORPORATION
EVANSTON CLINIC CORPORATION
EVANSTON CLINIC CORPORATION
EVANSTON HOSPITAL CORPORATION
EVANSTON HOSPITAL CORPORATION
EVANSTON HOSPITAL CORPORATION
EVANSTON PEDIATRICS
EVANSTON REGIONAL HOSPITAL
FRONTIER PSYCHOLOGICAL ASSOCIATES
FRONTIER PSYCHOLOGICAL ASSOCIATES
FRONTIER PSYCHOLOGICAL ASSOCIATES
FRONTIER PSYCHOLOGICAL ASSOCIATES
GORDON OLSEN, DO
GORDON S OLSEN, DO
GORDON S OLSEN, DO
Gregory M Yasuda MD
High Country Behavioral Health
High Country Behavioral Health
High Country Behavioral Health
High Country Behavioral Health
High Country Behavioral Health
High Country Behavioral Health
High Country Behavioral Health
High Country Behavioral Health
High Country Behavioral Health
High Country Behavioral Health
High Country Behavioral Health
High Country Behavioral Health
High Country Behavioral Health
High Country Behavioral Health
High Country Behavioral Health
High Country Behavioral Health
HOOVER CHIROPRACTIC
MOUNTAIN REGIONAL SERVICES INC
MOUNTAIN VALLEY EYE INSTITUTE
NEUROLOGICAL ASSOCIATES, LLC
NEUROLOGICAL ASSOCIATES, LLC
OPTIQUE 20/20 OF EVANSTON
PEDIATRIC AND ADOLESCENT CLINIC, INC
PIONEER COUNSELING SERVICES
PIONEER COUNSELING SERVICES
PIONEER COUNSELING SERVICES
PIONEER COUNSELING SERVICES
PIONEER COUNSELING SERVICES
PIONEER COUNSELING SERVICES
PIONEER COUNSELING SERVICES
PIONEER COUNSELING SERVICES
PIONEER COUNSELING SERVICES
PIONEER COUNSELING SERVICES
PIONEER COUNSELING SERVICES
PIONEER COUNSELING SERVICES
PIONEER COUNSELING SERVICES
PIONEER COUNSELING SERVICES
PIONEER COUNSELING SERVICES
PIONEER COUNSELING SERVICES
PREMIER SURGERY CENTER
SOUTH VALLEY DERMATOLOGY
SOUTHWEST WYOMING ENT, INC
Therapy For You
Todd Bader Psychotherapy
UINTA GENERAL SURGERY
UINTA HOME HEALTH HOSPICE
Uinta Home Sleep Testing LLC
UINTA PHYSICAL THERAPY
Uinta Physical Therapy
WESTERN WYOMING NEUROLOGICAL SURGERY
WYOMING INTERNAL MEDICINE
WYOMING SPECIALIZED PHYSICAL THERAPY
WYOMING SPECIALIZED PHYSICAL THERAPY
Adolfo G Bagnarello MD
ADDRESS1
EVANSTON ANESTHESIA ASSOCIATES LLC
PREMIER SURGICAL CENTER
EVANSTON ANESTHESIA ASSOCIATES LLC
196 ARROWHEAD DR, STE 1
196 ARROWHEAD DR STE 1
150 ARROWHEAD DR STE B
196 ARROWHEAD DR STE 2
196 ARROWHEAD DR STE 6
WYOMING INTERNAL MEDICINE
196 ARROWHEAD DR STE 1
SO HWY 150 BLDG 1565 STE C
196 ARROWHEAD DR STE 1
196 ARROWHEAD DR. STE 4
196 ARROWHEAD DR STE 8
190 ARROWHEAD DR
190 ARROWHEAD DR
190 ARROWHEAD DR
195 FEATHERWAY STE 2
190 ARROWHEAD DR
724 FRONT ST STE 230
724 FRONT ST STE 230
724 FRONT ST STE 230
724 FRONT ST STE 230
170 ARROWHEAD DR, STE 3
191 OVERTHRUST RD
191 OVERTHRUST RD
GREGORY M YASUDA MD
HIGH COUNTRY BEHAVIORAL HEALTH
HIGH COUNTRY BEHAVIORAL HEALTH
HIGH COUNTRY BEHAVIORAL HEALTH
HIGH COUNTRY BEHAVIORAL HEALTH
HIGH COUNTRY BEHAVIORAL HEALTH
HIGH COUNTRY BEHAVIORAL HEALTH
HIGH COUNTRY BEHAVIORAL HEALTH
HIGH COUNTRY BEHAVIORAL HEALTH
HIGH COUNTRY BEHAVIORAL HEALTH
HIGH COUNTRY BEHAVIORAL HEALTH
HIGH COUNTRY BEHAVIORAL HEALTH
HIGH COUNTRY BEHAVIORAL HEALTH
HIGH COUNTRY BEHAVIORAL HEALTH
HIGH COUNTRY BEHAVIORAL HEALTH
HIGH COUNTRY BEHAVIORAL HEALTH
HIGH COUNTRY BEHAVIORAL HEALTH
HOOVER CHIROPRACTIC CLINIC
195 FEATHERWAY
196 ARROWHEAD DR STE 5
196 ARROWHEAD DR STE 5
196 ARROWHEAD DR STE 5
701 FRONT ST
170 ARROWHEAD DR STE 2
350 CITY VIEW DR STE 302
350 CITY VIEW DR STE 302
350 CITY VIEW DRIVE, STE 302
350 CITY VIEW DR STE 302
350 CITY VIEW DR STE 302
350 CITY VIEW DR STE 302
350 CITY VIEW DR STE 302
350 CITY VIEW DR STE 302
350 CITY VIEW DR STE 302
350 CITY VIEW DR STE 302
350 CITY VIEW DR STE 302
350 CITY VIEW DR STE 302
350 CITY VIEW DRIVE, STE 302
350 CITY VIEW DRIVE, STE 302
350 CITY VIEW DR STE 302
350 CITY VIEW DRIVE, STE 302
195 OVERTHRUST DRIVE
PILOT BUTTE DERMATOLOGY
191 OVERTHRUST RD.
THERAPY FOR YOU
TODD BADER PSYCHOTHERAPY
196 ARROWHEAD DR STE 4
1229 UINTA ST
UINTA HOME SLEEP TESTING LLC
170 YELLOW CREEK RD STE D
UINTA PHYSICAL THERAPY
190 ARROWHEAD DR
196 ARROWHEAD DR STE 2
620 W CHEYENNE DR
WYOMING SPECIALIZED PHYSICAL THERAPY
AG BAGNARELLO MD
ADDRESS2
1101 CENTER ST
195 OVERTHRUST RD
1101 CENTER ST
196 ARROWHEAD DR., STE.
75 YELLOWCREEK RD
100 YELLOWSTONE RIVER DR
1575 HWY 150 S STE J
1675 HWY 150 S STE C
34 POWDER RIVER CT
100 YELLOWSTONE RIVER DR
1575 HWY 150 S STE J
1675 HWY 150 S STE C
34 POWDER RIVER CT
100 YELLOWSTONE RIVER DR
1575 HWY 150 S STE J
1675 HWY 150 S STE C
34 POWDER RIVER CT
100 YELLOWSTONE RIVER DR
1575 HWY 150 S STE J
1675 HWY 150 S STE C
34 POWDER RIVER CT
545 CHEYENNE DR STE A
196 ARROWHEAD DR STE 5
313 HERSCHLER AVE
724 FRONT ST
724 FRONT STE STE 523
170 YELLOWCREEK RD ST D
620 W CHEYENNE DR
302 S DOUGLAS HWY
CITY
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
EVANSTON
GILLETTE
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82930
82930
82930
82930
82930
82930
82930
82930
829308752
82930
82930
82930
829308752
82930
829309266
82930
829309266
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82931
82930
82930
82930
82930
82930
82930
82930
82930
82930
829305307
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
82930
829309261
82930
82930
82930
82930
829308752
82930
82930
82930
82930
82930
82930
82930
82930
82716
SPEC
AN
AN
AN
FP
FP
OG
IM
SU
IM
PAC
PO
FP
FP
FP
AN
AN
AN
PD
HSP
PY
PY
CUMH
CUMH
NP
PAC
OR
SU
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
PY
PY
PY
PY
CUMH
CUMH
CUMH
CUMH
CH
PSPS
OP
PSNE
PSNE
OD
PD
CUMH
CUMH
RN
CUMH
PY
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CCSU
DM
OL
OT
CUMH
SU
HPC
CCSL
PT
PT
SUNS
IM
PT
PT
IM
SPECIALTY_DESCR
Anesthesiology
Anesthesiology
Anesthesiology
Family Practice
Family Practice
Obstetrics & Gynecology
Internal Medicine
Surgery
Internal Medicine
Physician Assistant
Podiatrist
Family Practice
Family Practice
Family Practice
Anesthesiology
Anesthesiology
Anesthesiology
Pediatrics
HOSPITAL
Psychologist
Psychologist
Counselor - Mental Health
Counselor - Mental Health
Nurse Practitioner
Physician Assistant
Orthopaedic Surgery
Surgery
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychologist
Psychologist
Psychologist
Psychologist
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Chiropractor
Psychiatry & Neurology - Psychiatry
Ophthalmology
Psychiatry & Neurology - Neurology
Psychiatry & Neurology - Neurology
Optometrist
Pediatrics
Counselor - Mental Health
Counselor - Mental Health
Registered Nurse
Counselor - Mental Health
Psychologist
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Clinic/Center - Ambulatory Surgical
Dermatology
Otolaryngology
Occupational Therapist
Counselor - Mental Health
Surgery
HOSPICE
Clinic/Center - Sleep Disorder Diagnostic
Physical Therapist
Physical Therapist
Neurological Surgery
Internal Medicine
Physical Therapist
Physical Therapist
Internal Medicine
Page 20 of 57
LAST_NAME
ALBERTSONS #864
KMART #4863
MEDICAL HILL PHARMACY
MEDICAP #251
SMITH'S FOOD & DRUG #180
WALGREENS #7928
WALMART #1485
JONES
JONES
PARKER
PARKER
GADDY
KHACHIKIAN
BLACK ROCK ADVANCED MEDICAL IMAGING
LAWSON
STRAWN
WEST
MCKINSEY
BAILEY
BARABAS
BERENS
BIRRER
BLANCHARD
BLANCHARD
BLANCHARD
BOHLENDER
BOHLENDER
BOHLENDER
BOYLE
BROWN
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY MEMORIAL HOSPITAL
CARTER
CCMH HOME MEDICAL
CHAVIERS
COLBURN
CULLISON
DENAEYER
DIERING
EICHER
ENGLAND
FALL
FITZPATRICK
FORD
FORT
GERARD
HALLORAN
HARRIS
HASTREITER
HAYDEN
HIMES
HIMES
HUCKINS
KELLAM
KNOX
KRAUSE
KUBO
LAWSON
LAWSON
LEIH
MAGGIOLO
MAJEED
MCMAHILL
MEADE
MEADE
MILLER
MILLS
MORAN
MOSQUERA
NEUWIRTH
NILS
NORTH
PATEL
PATTERSON
PATTERSON
PETERSEN
PRINCE
PURCELL
RODDY
ROSENBERG
SINGH
08/22/2013
FIRST_NAME
MICHAEL
MICHAEL
DONALD
DONALD
MARY
STEPHEN
TINA
CARRIE
EDEN
LORI
CHERYL
ATTILA
STEPHANIE
BRET
SHERRI
SHERRI
SHERRI
TIMOTHY
TIMOTHY
TIMOTHY
JUDITH
CHRISTOPHER
MELODY
MANDY
MARION
BRIAN
BARBARA
SCOTT
ROBIN
BROOKE
DAVID
ELIZABETH
DENNIS
PETER
DANIELA
LANDI
SUZANNE
STACEY
JONATHAN
AMY
MICHAEL
MARTY
MARK
DIANNA
STUART
YVONNE
STANLEY
THEODORE
DEBRA
JULIE
MOHAMMED
PHILIP
BERNADETTE
BERNADETTE
MELISA
KEITH
MICHELLE
ROMER
ROBERT
ALBERT
BRADLEY
KIRTIKUMAR
MARY
MARY
JUDETH
MARK
MIKE
JONATHAN
JEFFREY
SHAILENDRA
TITLE
PHONE
3076872996
3076823212
3076852899
3076856985
3076821217
3076824517
3076865166
3076824664
3076828811
3076824664
3076828811
8003251774
6053412000
3076828228
3076856982
3076856982
3076856982
3076853733
3076828811
3076883636
3076828811
3076828811
3076889255
3076828811
3074640413
3076828811
3074640413
3076821441
3076828811
3076828811
3076828811
3076828811
3076828811
3076875236
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076889255
3076828811
3076828811
3076828811
3076824709
3076883636
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076883500
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
CLINIC NAME
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
Associates in Womens Health PC
Associates in Womens Health PC
Associates in Womens Health PC
Associates in Womens Health PC
BILLINGS CLINIC
BLACK HILLS REGIONAL EYE INSTITUTE
Black Rock Advanced Medical Imaging
Brighter Horizons Counseling LLC
Brighter Horizons Counseling LLC
Brighter Horizons Counseling LLC
Camel Country Clinic LLC
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
ADDRESS1
2610 S DOUGLAS HWY
2150 S DOUGLAS HWY
407 MEDICAL ARTS CT STE A
501 E LAKEWAY RD ,STE A
906 CAMEL DR
2000 S DOUGLAS HWY
2300 S DOUGLAS HWY
ASSOCIATES IN WOMENS HEALTH PC
CAMPBELL COUNTY MEMORIAL HOSPITAL
ASSOCIATES IN WOMENS HEALTH PC
CAMPBELL COUNTY MEMORIAL HOSPITAL
BILLINGS CLINIC
THE EYE SPECIALISTS
BLACK ROCK ADVANCED MEDICAL IMAGING
BRIGHTER HORIZONS COUNSELING LLC
BRIGHTER HORIZONS COUNSELING LLC
BRIGHTER HORIZONS COUNSELING LLC
CAMEL COUNTRY CLINIC LLC
CAMPBELL COUNTY HOSPITAL DISTRICT
CCMH UROLOGY CLINIC
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CCMH WALK IN CLINIC
CAMPBELL COUNTY MEMORIAL HOSPITAL
CCMH WALK IN CLINIC
CAMPBELL COUNTY MEMORIAL HOSPITAL
CCMH WALK IN CLINIC
CCMH WALK IN CLINIC
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY MEMORIAL HOSPITAL
CAMPBELL COUNTY HOSPITAL DISTRICT
CCMH HOME MEDICAL
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY MEMORIAL HOSPITAL
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CCMH WALK IN CLINIC
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CCMH PIONEER MANOR
COTTONWOOD MEDICAL PROFESSIONAL
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY MEMORIAL HOSPITAL
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY CLINICS-NEUROLOGY
CAMPBELL COUNTY MEMORIAL HOSPITAL
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
ADDRESS2
1307 W 3RD ST
501 S BURMA AVE
1307 W 3RD ST
501 S BURMA AVE
407 MEDICAL ARTS CT STE D
3100 LAKEWAY RD
620 4J CT UNIT D
113 S GILLETTE AVE STE 203
113 S GILLETTE AVE STE 203
113 S GILLETTE AVE STE 203
1206 W 4TH ST STE 2
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
407 MEDICAL ARTS CT STE C
501 S BURMA AVE
1405 W 4TH ST
501 S BURMA AVE
1405 W 4TH ST
407 S MEDICAL ARTS CT STE F
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
1708 W HWY 14 16
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
407 MEDICAL ARTS CT STE C
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
900 W 8TH ST
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
501 S BURMA AVE
CITY
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82718
82716
82716
82718
82716
82718
82718
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82717
82716
82716
82716
82716
82716
82716
82716
82716
82717
82716
82716
82716
82716
82716
82716
82716
SPEC
PHY
PHY
PHY
PHY
PHY
PHY
PHY
OG
OG
OG
OG
PSNE
OP
RADR
CUMH
CUMH
CUMH
FP
SPECIALTY_DESCR
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Psychiatry & Neurology - Neurology
Ophthalmology
Radiology - Diagnostic Radiology
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Family Practice
SUUR
CUMH
EM
FP
FP
FP
FP
FP
FP
IMHP
OG
CCSL
CCSL
CUMH
CCSL
CUMH
EM
EM
CUMH
EM
Urology
Counselor - Mental Health
Emergency Medicine
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Hospitalist
Obstetrics & Gynecology
Clinic/Center - Sleep Disorder Diagnostic
Clinic/Center - Sleep Disorder Diagnostic
Counselor - Mental Health
Clinic/Center - Sleep Disorder Diagnostic
Counselor - Mental Health
Emergency Medicine
Emergency Medicine
Counselor - Mental Health
Emergency Medicine
PY
PD
PSPS
EM
IMPU
EM
IMHP
FP
FP
EM
CUMH
CUMH
Psychologist
Pediatrics
Psychiatry & Neurology - Psychiatry
Emergency Medicine
Internal Medicine - Pulmonary Disease
Emergency Medicine
Hospitalist
Family Practice
Family Practice
Emergency Medicine
Counselor - Mental Health
Counselor - Mental Health
EM
CUMH
PY
CUMH
EM
EM
HPAC
PSPS
IMHP
HSCB
IM
IM
CUMH
IMHE
PSPS
PSNE
IMHP
EM
EM
IM
PSNE
PSNE
CUMH
IMHP
CUMH
EM
EM
IMHP
Emergency Medicine
Counselor - Mental Health
Psychologist
Counselor - Mental Health
Emergency Medicine
Emergency Medicine
General Acute Care Hospital
Psychiatry & Neurology - Psychiatry
Hospitalist
Hospice Care, Community Based
Internal Medicine
Internal Medicine
Counselor - Mental Health
Internal Medicine - Hematology
Psychiatry & Neurology - Psychiatry
Psychiatry & Neurology - Neurology
Hospitalist
Emergency Medicine
Emergency Medicine
Internal Medicine
Psychiatry & Neurology - Neurology
Psychiatry & Neurology - Neurology
Counselor - Mental Health
Hospitalist
Counselor - Mental Health
Emergency Medicine
Emergency Medicine
Hospitalist
Page 21 of 57
LAST_NAME
SPRING WILKINS
STAMATO
STOLPE
SWIFT
SWIFT
VOIGT
WALLA
WASSERBERGER
WILKINS
WOOD
WOODWARD
ZOLCIK
CAMPBELL COUNTY MEMORIAL HOSPITAL
BAILEY
BARLETT RONE
BEHRENS
FEDORE
GORMAN
HAACK
HOPPE
MITCHELL
MITCHELL
MOHR
ORCUTT
ROBERTSON
SMITH
TURNER
WANBAUGH
YAKEL
WILLIAMS
OEDEKOVEN
OEDEKOVEN
FAREED
FAREED
JAVAID
JAVAID
LEPARD
LEPARD
NEUWIRTH
BIEGLER
HIMES
HURICH
DAVIS
DAVIS
DAVIS
DAVIS ENT SPECIALISTS PC
NARAMORE
THOMPSON
WAGNER
WILKERSON
WILKERSON
PATEL
LAMANNA
LAWRENCE
MITCHELL
MITCHELL
CLOUSTON
CLOUSTON
CLOUSTON
CLOUSTON
HAUGEN
HITE
KNOLL
KRAYCSIR
MALKOWSKI
STIRLING
ARNIO
MCINTOSH
CANFIELD
CANFIELD
CANFIELD
CANFIELD
MEDICAL ARTS LABORATORY
DUEL
HAMMOND
KIDD
SCHUBERT
MEYER
WATT
NORTH EAST WYOMING SURGERY CENTER LLC
ANDERSON
08/22/2013
FIRST_NAME
KATHRYN
JOHN
MICHAEL
IAN
IAN
ROBIN
SUE
TRACY
KATHYRN
KEVIN
WILLIAM
WOJCIECH
JOHN
STARRLA
JEROME
DAN
MATTHEW
ANN
SANDRA
MATTHEW
MATTHEW
MARTY
STEVEN
NANCY
CRAIG
CLAYTON
MIKE
DEMIAN
MARY ELLEN
DALE
VIRGINIA
SAMEERA
SAMEERA
FARRUKH
FARRUKH
ALICIA
ALICIA
ROBERT
KIM
MICHAEL
JAMIE
THOMAS
THOMAS
THOMAS
JAMES
WILLIAM
CHELSI
BILLE
BILLE
KIRTIKUMAR
JAMES
JOSEPH
ALAN
ALAN
ALICIA
CHRISTINE
DANIEL
KENNETH
MYLES
RANDALL
SARAH
STEPHANIE
JORDAN
JASON
MATTHEW
ROBERT
KRIS
KRIS
KRIS
KRIS
GINA
TODD
JUSTIN
ERIC
ERIC
TIM
JEFFREY
TITLE
PHONE
3076828811
3076828811
3076828811
3076888600
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
3076828811
(307) 688 1000
3076861413
3076861413
3076861413
3076861413
3076861413
3076861413
3076861413
3072657205
3076861413
3076861413
3076861413
3076861413
3076861413
3076861413
3076861413
3076861413
3075778600
3076869422
3076869422
3076824709
3076883636
3076824709
3076883636
3076883636
3076824709
3076821441
3076858255
3076858255
3076858255
3076828811
3076867346
3076888600
3076867346
3076860308
3076860308
3076860308
3076828811
3076860308
3076820400
3076823078
3076823078
3076823078
3076823078
3076824900
3076824900
3076824900
3076824900
3076824900
3076824900
3076824900
3076824900
3076824900
3076824900
3076709426
3076709426
3076821911
3076828811
3076827500
3076868283
3076821234
3076826222
3076821911
3076826222
3076826222
3076821911
3076860308
3076868283
3076828811
CLINIC NAME
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY MEMORIAL HOSPITAL
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CASPER ORTHOPAEDIC ASSOCIATES, PC
CENTRAL WYOMING UROLOGICAL ASSOCIATES,PC
Clear Creek Counseling
Clear Creek Counseling
Cottonwood Medical Professionals
Cottonwood Medical Professionals
Cottonwood Medical Professionals
Cottonwood Medical Professionals
Cottonwood Medical Professionals
Cottonwood Medical Professionals
Cottonwood Medical Professionals
Counseling Connections LLC
Counseling Connections LLC
Counseling Connections LLC
Davis ENT Specialists PC
Davis ENT Specialists PC
Davis ENT Specialists PC
Davis ENT Specialists PC
Family Health
Family Health
Family Health
Family Health
Family Health
GILLETTE INTERNAL MEDICINE
GILLETTE MEDICAL IMAGING PC
GILLETTE MEDICAL IMAGING PC
GILLETTE MEDICAL IMAGING PC
GILLETTE MEDICAL IMAGING PC
Gillette Physical Therapy PC
Gillette Physical Therapy PC
Gillette Physical Therapy PC
Gillette Physical Therapy PC
Gillette Physical Therapy PC
Gillette Physical Therapy PC
Gillette Physical Therapy PC
Gillette Physical Therapy PC
Gillette Physical Therapy PC
Gillette Physical Therapy PC
Health Source Chiropractic & Progressive Rehab
HealthSource of Gillette Inc
Kris A Canfield MD
Kris A Canfield MD
Kris A Canfield MD
Kris A Canfield MD
Medical Arts Laboratory
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Regional Hospital
Neurosurgical & Spinal Surgery Associates PC
NORTHEAST WYOMING SURGERY CENTER
OB/GYN Specialists at CCMH
ADDRESS1
ADDRESS2
CAMPBELL COUNTY HOSPITAL DISTRICT
501 S BURMA AVE
CAMPBELL COUNTY HOSPITAL DISTRICT
501 S BURMA AVE
CAMPBELL COUNTY HOSPITAL DISTRICT
501 S BURMA AVE
POWDER RIVER SURGERY CENTER
906 W 6TH ST STE C
CAMPBELL COUNTY MEMORIAL HOSPITAL
501 S BURMA AVE
CAMPBELL COUNTY HOSPITAL DISTRICT
501 S BURMA AVE
CAMPBELL COUNTY HOSPITAL DISTRICT
501 S BURMA AVE
CAMPBELL COUNTY HOSPITAL DISTRICT
501 S BURMA AVE
COMMUNITY MENTAL HEALTH SERVICES
501 S BURMA AVE
CAMPBELL COUNTY HOSPITAL DISTRICT
501 S BURMA AVE
CAMPBELL COUNTY HOSPITAL DISTRICT
501 S BURMA AVE
CAMPBELL COUNTY HOSPITAL DISTRICT
501 S BURMA AVE
501 S. BURMA AVE.
CASPER ORTHOPAEDIC ASSOCIATES PC
900 WEST 6TH ST
CASPER ORTHOPAEDIC ASSOCIATES PC
900 WEST 6TH ST
CASPER ORTHOPAEDIC ASSOCIATES PC
900 WEST 6TH ST
CASPER ORTHOPAEDIC ASSOCIATES PC
900 WEST 6TH ST
CASPER ORTHOPAEDIC ASSOCIATES PC
900 WEST 6TH ST
CASPER ORTHOPAEDIC ASSOCIATES PC
900 WEST 6TH ST
CASPER ORTHOPAEDIC ASSOCIATES PC
900 WEST 6TH ST
CASPER ORTHOPAEDIC ASSOCIATES PC
3100 W LAKEWAY #2
CASPER ORTHOPAEDIC ASSOCIATES PC
900 WEST 6TH ST
CASPER ORTHOPAEDIC ASSOCIATES PC
900 WEST 6TH ST
CASPER ORTHOPAEDIC ASSOCIATES PC
900 WEST 6TH ST
CASPER ORTHOPAEDIC ASSOCIATES PC
900 WEST 6TH ST
CASPER ORTHOPAEDIC ASSOCIATES PC
900 WEST 6TH ST
CASPER ORTHOPAEDIC ASSOCIATES PC
900 WEST 6TH ST
CASPER ORTHOPAEDIC ASSOCIATES PC
900 WEST 6TH ST
CASPER ORTHOPAEDIC ASSOCIATES PC
900 WEST 6TH ST
GILLETTE CENTERAL WY UROLOGICAL
1206 W 4TH ST
CLEAR CREEK COUNSELING
801 E 4TH ST STE 24
CLEAR CREEK COUNSELING
801 E 4TH ST STE 24
CCMH PIONEER MANOR
900 W 8TH ST
COTTONWOOD MEDICAL PROFESSIONAL
501 S BURMA AVE
CCMH PIONEER MANOR
900 W 8TH ST
COTTONWOOD MEDICAL PROFESSIONAL
501 S BURMA AVE
COTTONWOOD MEDICAL PROFESSIONAL
501 S BURMA AVE
CCMH PIONEER MANOR
900 W 8TH ST
COTTONWOOD MEDICAL PROFESSIONALS
407 S MEDICAL ARTS CT STE F
COUNSELING CONNECTIONS LLC
707 W 8TH ST
COUNSELING CONNECTIONS LLC
707 W 8TH ST
COUNSELING CONNECTIONS LLC
707 W 8TH ST
CAMPBELL COUNTY MEMORIAL HOSPITAL
501 S BURMA AVE
DAVIS ENT SPECIALISTS PC
407 S MEDICAL ARTS CT STE C
POWDER RIVER SURGERY CENTER LLC
906 W 6TH ST STE A
DAVIS ENT SPECIALISTS PC
407 S MEDICAL ARTS CT STE C
FAMILY HEALTH
407 S MEDICAL ARTS CT STE D
FAMILY HEALTH
407 S MEDICAL ARTS CT STE D
FAMILY HEALTH
407 S MEDICAL ARTS CT STE D
CAMPBELL COUNTY MEMORIAL HOSPITAL
501 S BURMA AVE
FAMILY HEALTH
407 S MEDICAL ARTS CT STE D
GILLETTE INTERNAL MEDICINE ASSOCIATES PC
407 S MEDICAL ARTS CT STE D
GILLETTE MEDICAL IMAGING PC
501 S BURMA AVE
GILLETTE MEDICAL IMAGING PC
501 S BURMA AVE
GILLETTE MEDICAL IMAGING PC
407 S MEDICAL ARTS CT STE E
GILLETTE MEDICAL IMAGING PC
501 S BURMA AVE
GILLETTE PHYSICAL THERAPY PC
201 W LAKEWAY STE 700
GILLETTE PHYSICAL THERAPY PC
201 W LAKEWAY STE 700
GILLETTE PHYSICAL THERAPY PC
201 W LAKEWAY STE 700
GILLETTE PHYSICAL THERAPY PC
201 W LAKEWAY STE 700
GILLETTE PHYSICAL THERAPY PC
201 W LAKEWAY STE 700
GILLETTE PHYSICAL THERAPY PC
201 W LAKEWAY STE 700
GILLETTE PHYSICAL THERAPY PC
201 W LAKEWAY STE 700
GILLETTE PHYSICAL THERAPY PC
201 W LAKEWAY STE 700
GILLETTE PHYSICAL THERAPY PC
201 W LAKEWAY STE 700
GILLETTE PHYSICAL THERAPY PC
201 W LAKEWAY STE 700
HEALTH SOURCE CHIROPRACTIC & PROGRESSIVE REHAB 110 E LAKE WAY RD STE 1000
HEALTHSOURCE OF GILLETTE INC
110 E LAKEWAY RD
BECKS CENTER FOR SURGICAL EXCELLENCE
1503 CRESSETT ST
CAMPBELL COUNTY MEMORIAL HOSPITAL
501 S BURMA AVE
KRIS A CANFIELD MD
1001 S DOUGLAS HWY STE B5
NORTH EAST WYOMING SURGERY CENTER LLC
1307 W 3RD ST
MEDICAL ARTS LABORATORY
407 S MEDICAL ARTS CT STE E
THUNDER BASIN ORTHOPAEDIC CLINIC
109 W LAKEWAY
CENTER FOR SURGICAL EXCELLENCE
1503 CRESSETT ST
THUNDER BASIN ORTHOPAEDIC CLINIC
109 W LAKEWAY
THUNDER BASIN ORTHOPAEDIC CLINIC
109 W LAKEWAY
CENTER FOR SURGICAL EXCELLENCE
1503 CRESSETT ST
NEUROSURGICAL & SPINAL SURGERY ASSOC
407 S MEDICAL ARTS CT
NORTH EAST WYOMING SURGERY CENTER LLC
1307 W 3RD ST
CAMPBELL COUNTY MEMORIAL HOSPITAL
501 S BURMA AVE
CITY
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82717
82716
82717
82717
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82717
82716
82718
82718
82718
82718
82718
82718
82718
82718
82718
82718
82718
82718
82716
82716
82717
82716
82716
82718
82716
82718
82718
82716
82716
82716
82716
SPEC
CUMH
IMHO
EM
OL
OL
CUMH
SPECIALTY_DESCR
Counselor - Mental Health
Internal Medicine - Hematology & Oncology
Emergency Medicine
Otolaryngology
Otolaryngology
Counselor - Mental Health
PD
CUMH
CUMH
PGAP
Pediatrics
Counselor - Mental Health
Counselor - Mental Health
Pathology - Anatomic Pathology
HSP
OR
OR
OR
OR
OR
OR
OT
OR
OR
PT
OR
PT
OR
OR
PT
OR
SUUR
CUMH
CUMH
IM
IM
IM
IM
FP
FP
IM
CUMH
CUMH
CUMH
OL
OL
OL
DE
FP
FP
FP
FP
FP
IM
RADR
RADR
RADR
RADR
PT
PT
OT
PT
PT
PT
PT
PT
PT
PT
CH
CH
SU
SU
SU
SU
LBCL
SUNS
PNMG
SUNS
SUNS
AN
SUNS
CCSU
OG
HOSPITAL
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Occupational Therapist
Orthopaedic Surgery
Orthopaedic Surgery
Physical Therapist
Orthopaedic Surgery
Physical Therapist
Orthopaedic Surgery
Orthopaedic Surgery
Physical Therapist
Orthopaedic Surgery
Urology
Counselor - Mental Health
Counselor - Mental Health
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Family Practice
Family Practice
Internal Medicine
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Otolaryngology
Otolaryngology
Otolaryngology
Durable Medical Equipment & Medical Supplies
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Internal Medicine
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Physical Therapist
Physical Therapist
Occupational Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Chiropractor
Chiropractor
Surgery
Surgery
Surgery
Surgery
Clinical Medical Laboratory
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Pain Medicine - Pain Management
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Anesthesiology
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Clinic/Center - Ambulatory Surgical
Obstetrics & Gynecology
Page 22 of 57
LAST_NAME
ANDERSON
ANDERSON
BIGGS
BIGGS
BIGGS
COHN
COHN
COHN
CONNALLY
GILLES
GUNN
MORMAN
ALLEN
ALLEN
ALLEN
DUNN
DUNN
DUNN
KIOSCHOS
KIOSCHOS
PETERS
ROLAND
ROLAND
SIMPSON
SIMPSON
SIMPSON
POWDER RIVER SURGERY CENTER LLC
ZUCKERMAN
WHITE
FINLEY
HEILMAN
MARTINSON
MARTINSON
MARTINSON
MARTINSON
BEST
BIGGS
BIGGS
VOIGT
PESHEK
SCHMIDT MILLER
SCHMIDT MILLER
SHEPARD
FORSHA
TUBBS
DAIGLE
LOZANO
PHILLIPS
HICKS
FLUTURE
HISER
IVANOV
PICKRELL
WICKS
DEER CREEK DRUG
COOK
HOLT
LARSON
MANGUS
MCWILLIAMS
NELSON
RICHARDS
MORGAN
PAY-LESS DRUG
SMITH'S FOOD & DRUG #187
AMY
CASTLE ROCK HOSPITAL DISTRICT
CASTLE ROCK LABORATORY
DANSIE
KOMBRINCK
PAFFORD
SHERWIN
SLOAN
SUMMERS
VANDERVORT
WYLIE
NELSON
WOLFFING
GOYN
BYARS
SVEJCAR
08/22/2013
FIRST_NAME
JEFFREY
JEFFREY
ANGELA
ANGELA
ANGELA
AMBER
AMBER
AMBER
PATRICIA
JEFFREY
VANESSA
MONICA
DANIEL
DANIEL
DANIEL
JOHN
JOHN
JOHN
HANS
HANS
ROXANNE
KENT
KENT
NATHAN
NATHAN
NATHAN
TITLE
JEFFREY
JAY
ROBERT
K JOHN
DUSTIN
DUSTIN
HEATHER
HEATHER
CHAD
RODNEY
RODNEY
ROBIN
BRIAN
KATHRYN
KATHRYN
SHELLEY
DOUGLASS
VIRGINIA
MICHELLE
LISA
ANN
KEN
ADRIAN
WESLEY
OLEG
JOHN
ALLAN
EMILY
SETH
AMANDA
CHARLES
JESSICA
KELSEY
BONNIE
JAMES
CHARLES
DAVID
JASON
ROGER
KRISTINE
JOHN
NICOLE
CHRISTA
BRYCE
MICHAEL
CRAIG
DARRIN
JAMES
MICHAEL
DO
PHONE
3076863855
3076863855
3076828811
3076863855
3076863855
3076828811
3076863855
3076863855
3076883500
3076883500
3076883500
3076883500
3076861413
3076861413
3076888600
3076861413
3076888600
3076888600
3076861413
3076888600
3076861413
3076861413
3076888600
3076828811
3076861413
3076888600
3076888600
3076828811
3076821911
3076861413
3076860308
3076868177
3076868177
3076868177
3076868177
3038692121
3076828811
3076820026
3077562624
3076851442
3076851442
3076851442
3076850130
3072652936
8776890005
3076826699
3076826699
3076826699
3076828617
3076860308
3076860308
3076860308
3076860308
3076860308
3074369611
3075683311
3075683311
3075683311
3075683311
3075683311
3075683311
3075683311
3074368838
3078752435
3078757841
(307) 872 4554
3078724500
3078724500
(307) 872 4500
(307) 872 4554
DO
(307) 872 4554
3078751847
3078751847
3078754654
(307) 362 2020
3078758492
CLINIC NAME
OB/GYN Specialists at CCMH
OB/GYN Specialists at CCMH
OB/GYN Specialists at CCMH
OB/GYN Specialists at CCMH
OB/GYN Specialists at CCMH
OB/GYN Specialists at CCMH
OB/GYN Specialists at CCMH
OB/GYN Specialists at CCMH
Orthopaedic Specialists of Wyoming
Orthopaedic Specialists of Wyoming
Orthopaedic Specialists of Wyoming
Orthopaedic Specialists of Wyoming
Powder River Orthopedics & Spine
Powder River Orthopedics & Spine
Powder River Orthopedics & Spine
Powder River Orthopedics & Spine
Powder River Orthopedics & Spine
Powder River Orthopedics & Spine
Powder River Orthopedics & Spine
Powder River Orthopedics & Spine
Powder River Orthopedics & Spine
Powder River Orthopedics & Spine
Powder River Orthopedics & Spine
Powder River Orthopedics & Spine
Powder River Orthopedics & Spine
Powder River Orthopedics & Spine
Powder River Surgery Center LLC
RADIOLOGY INTERPRETATION SERVICES
RAPID CITY MEDICAL CENTER, LLP
Rapid City Regional Hospital
Regional Heart Doctors
Rehab Solutions
Rehab Solutions
Rehab Solutions
Rehab Solutions
ROCKY MOUNTAIN PEDIATRIC GI
Rodney C Biggs MD PC
Rodney C Biggs MD PC
Sage Psychiatric & Counseling Services
Sagebrush ENT
Sagebrush ENT
Sagebrush ENT
SHELLY M SHEPARD MD PC
SOUTH VALLEY DERMATOLOGY
SOUTH VALLEY DERMATOLOGY
The Counseling Center
The Counseling Center
The Counseling Center
Transitions Family Counseling & Mediation Center
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
ADVANCEPCS
BIG COUNTRY REHAB
BIG COUNTRY REHAB
BIG COUNTRY REHAB
BIG COUNTRY REHAB
BIG COUNTRY REHAB
BIG COUNTRY REHAB
BIG COUNTRY REHAB
Oregon Trail RHC
ADVANCEPCS
ADVANCEPCS
CASTLE ROCK HOSPITAL DISTRICT
CASTLE ROCK HOSPITAL DISTRICT
CASTLE ROCK HOSPITAL DISTRICT
CASTLE ROCK HOSPITAL DISTRICT
CASTLE ROCK HOSPITAL DISTRICT
CASTLE ROCK HOSPITAL DISTRICT
CASTLE ROCK HOSPITAL DISTRICT
CASTLE ROCK HOSPITAL DISTRICT
CASTLE ROCK HOSPITAL DISTRICT
CASTLE ROCK HOSPITAL DISTRICT
CASTLE ROCK HOSPITAL DISTRICT
HIGH PLAINS THERAPY SERVICES
HIGH PLAINS THERAPY SERVICES
KATELYN L PERTILE DPT
OPTIQUE 20/20 INC-GREEN RIVER
PEAK PERFORMANCE SPORTS MED
ADDRESS1
CCMH OBGYN SPECIALISTS
OB/GYN SPECIALISTS AT CCMH
CAMPBELL COUNTY MEMORIAL HOSPITAL
CCMH OBGYN SPECIALISTS
OB/GYN SPECIALISTS AT CCMH
CAMPBELL COUNTY MEMORIAL HOSPITAL
CCMH OBGYN SPECIALISTS
OB/GYN SPECIALISTS AT CCMH
ORTHOPAEDIC SPECIALISTS OF WYOMING
ORTHOPAEDIC SPECIALISTS OF WYOMING
ORTHOPAEDIC SPECIALISTS OF WYOMING
ORTHOPAEDIC SPECIALISTS OF WYOMING
CAMPBELL COUNTY CLINICS
POWDER RIVER ORTHOPEDICS & SPINE
POWDER RIVER SURGERY CENTER
POWDER RIVER ORTHOPEDICS & SPINE
POWDER RIVER SURGERY CENTER
POWDER RIVER SURGERY CENTER
POWDER RIVER ORTHOPEDICS & SPINE
POWDER RIVER SURGERY CENTER
POWDER RIVER ORTHOPEDICS & SPINE
POWDER RIVER ORTHOPEDICS & SPINE
POWDER RIVER SURGERY CENTER
CAMPBELL COUNTY MEMORIAL HOSPITAL
POWDER RIVER ORTHOPEDICS & SPINE
POWDER RIVER SURGERY CENTER
POWDER RIVER SURGERY CENTER LLC
CAMPBELL COUNTY HOSPITAL DISTRICT
CENTER FOR SURGICAL EXCELLENCE
POWDER RIVER ORTHOPEDICS & SPINE
FAMILY HEALTH
REHAB SOLUTIONS
REHAB SOLUTIONS
REHAB SOLUTIONS
REHAB SOLUTIONS
ROCKY MOUNTAIN PEDIATRIC GASTROENTEROLOGY
CAMPBELL COUNTY MEMORIAL HOSPITAL
RODNEY C BIGGS MD PC
SAGE PSYCHIATRIC & COUNSELING SERVICES
SAGEBRUSH ENT
SAGEBRUSH ENT
SAGEBRUSH ENT
SHELLEY M SHEPARD MD PC
PILOT BUTTE DERMATOLOGY
PILOT BUTTE DERMATOLOGY
THE COUNSELING CENTER
THE COUNSELING CENTER
THE COUNSELING CENTER
TRANSITIONS FAMILY COUNSELING & MEDIATION CNT
FAMILY HEALTH CLINIC
FAMILY HEALTH CLINIC
FAMILY HEALTH CLINIC
FAMILY HEALTH CLINIC
FAMILY HEALTH CLINIC
215 S 4TH ST
BIG COUNTRY REHABILITATION
BIG COUNTRY REHABILITATION
BIG COUNTRY REHABILITATION
BIG COUNTRY REHABILITATION
BIG COUNTRY REHABILITATION
BIG COUNTRY REHABILITATION
BIG COUNTRY REHABILITATION
OREGON TRAIL RURAL HEALTH CLINIC
50 E FLAMING GORGE WAY
905 BRIDGER DR
1400 UINTA DR
PO BOX 219
1400 UINTA DR
CASTLE ROCK HOSPITAL DISTRICT
P O BOX 219
P O BOX 219
1400 UINTA DR
P O BOX 219
CASTLE ROCK HOSPITAL DISTRICT
P O BOX 219
P O BOX 219
920 UPLAND WAY
HIGH PLAINS PHYSICAL THERAPY
SUMMIT PHYSICAL THERAPY
175 GREEN RIVER VIEW DR. #F
140 COMMERCE DR
ADDRESS2
1405 W 4TH ST
1414 W 4TH ST
501 S BURMA AVE
1405 W 4TH ST
1414 W 4TH ST
501 S BURMA AVE
1405 W 4TH ST
1414 W 4TH ST
501 S BURMA AVE STE 3500
501 S BURMA AVE STE 3500
501 S BURMA AVE STE 3500
501 S BURMA AVE STE 3500
501 S BURMA AVE 3NFA
508 STOCKTRAIL AVE STE A
906 W 6TH ST STE C
508 STOCKTRAIL AVE STE A
56 W TRI STE C
906 W 6TH ST STE C
508 STOCKTRAIL AVE STE A
906 W 6TH ST STE C
508 STOCKTRAIL AVE STE A
508 STOCKTRAIL AVE STE A
906 W 6TH ST STE C
501 S BURMA AVE
508 STOCKTRAIL AVE STE A
906 W 6TH ST STE C
906 W 6TH ST STE A
501 S BURMA AVE
1503 CRESSETT ST
508 STOCKTRAIL AVE STE A
407 S MEDICAL ARTS CT STE D
1103 BOXELDER RD STE 6U
1103 BOXELDER RD UNIT 4KA
1103 BOXELDER RD STE 6U
1103 BOXELDER RD UNIT 4KA
501 S BURMA AVE
501 S BURMA AVE
1414 W 4TH ST
405 W BOXELDER RD 8C
501 S BURMA AVE
1405 W 4TH ST
501 S BURMA AVE
1206 W 4TH ST STE 1
1300 W 4TH ST
1001 S DOUGLAS HWY STE B5
1401 W 2ND ST STE 1
1401 W 2ND ST STE 1
1401 W 2ND ST STE 1
801 E 4TH ST STE 18
407 S MEDICAL ARTS CT
407 S MEDICAL ARTS CT
407 S MEDICAL ARTS CT
407 S MEDICAL ARTS CT
407 S MEDICAL ARTS CT
525 E BIRCH ST
525 E BIRCH ST
525 E BIRCH ST
525 E BIRCH ST
525 E BIRCH ST
525 E BIRCH ST
525 E BIRCH ST
525 E BIRCH
1400 UINTA DR.
1400 UINTA DR
920 UPLAND WAY
541A E FLAMING GORGE WAY
CITY
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GILLETTE
GLENROCK
GLENROCK
GLENROCK
GLENROCK
GLENROCK
GLENROCK
GLENROCK
GLENROCK
GLENROCK
GREEN RIVER
GREEN RIVER
GREEN RIVER
GREEN RIVER
GREEN RIVER
GREEN RIVER
GREEN RIVER
GREEN RIVER
GREEN RIVER
GREEN RIVER
GREEN RIVER
GREEN RIVER
GREEN RIVER
GREEN RIVER
GREEN RIVER
GREEN RIVER
GREEN RIVER
GREEN RIVER
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82718
82718
82718
82718
82717
82716
82717
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82716
82637
82637
82637
82637
82637
82637
82637
82637
82637
82935
82935
82935
82935
82935
829355060
82935
82935
82935
82935
829355060
82935
82935
82935
82935
82935
82935
82935
SPEC
OG
OG
OG
OG
OG
OG
OG
OG
OR
OR
OR
OR
PO
PO
PO
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
CCSU
RADR
OL
PSNE
IMCV
PT
PT
PT
PT
PDGI
SU
SU
CUMH
OL
OL
OL
OGGY
DM
DM
CUMH
CUMH
CUMH
CUMH
IMCI
IMCI
IMCI
IMCI
IMCI
PHY
PT
PT
OT
PT
OT
OT
OT
FP
PHY
PHY
PAC
HSP
LBCL
FP
PT
FP
PAC
FP
FP
SLP
PAC
PT
PT
PT
OD
PT
SPECIALTY_DESCR
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Podiatrist
Podiatrist
Podiatrist
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Clinic/Center - Ambulatory Surgical
Radiology - Diagnostic Radiology
Otolaryngology
Psychiatry & Neurology - Neurology
Internal Medicine - Cardiovascular Disease
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Pediatrics - Pediatric Gastroenterology
Surgery
Surgery
Counselor - Mental Health
Otolaryngology
Otolaryngology
Otolaryngology
Obstetrics & Gynecology - Gynecology
Dermatology
Dermatology
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Pharmacy
Physical Therapist
Physical Therapist
Occupational Therapist
Physical Therapist
Occupational Therapist
Occupational Therapist
Occupational Therapist
Family Practice
Pharmacy
Pharmacy
Physician Assistant
HOSPITAL
Clinical Medical Laboratory
Family Practice
Physical Therapist
Family Practice
Physician Assistant
Family Practice
Family Practice
Speech Language Pathologist
Physician Assistant
Physical Therapist
Physical Therapist
Physical Therapist
Optometrist
Physical Therapist
Page 23 of 57
LAST_NAME
JANICKI
ROCKY MOUNTAIN HOME CARE
TROTT
ARGERIS
GUERNSEY DRUG
REGISTER CLIFFS PHARMACY
GARRISON
JOHNSON
CUMMINGS
LUMNITZ
NOBACK
ROGERS
VOLL
KRAMER
THOMAS
THOMAS
ALBERTSONS #183
KMART #7139
SMITH'S PHARMACY
STONE DRUG
EVANS
LEWIS
LEWIS
OBRIEN
SULLIVAN
SULLIVAN
WEAVER
BRESLIN
TAYLOR
WORMAN
GOETZ
GOETZ
MELLICK
MELLICK
HAYSE
HAYSE
GUIER
GUIER
TOMLINSON
TOMLINSON
MORZOV
RYAN
WIGG
WYOMING MEDICAL SERVICES LLC
GALBRAITH
HAWKINS
HAWKINS
BLUE
BLUE
BLUE
BARTLETT
BRECKER
DILLON
DOWNEY
MASON
MELLICK
SUGDEN
CHRISTENSEN
DEIGHTON
DONLEY
SCHULTHEIS
LINHARDT
BLUM
BRESLIN
PAYNE
TROTT
WORMAN
LOFARO
LOFARO
LOFARO
MORAN
MORAN
MORAN
ROBERTS
ROBERTS
ROBERTS
ZEER
ZEER
OTTMAN
GIRLING
GIRLING
08/22/2013
FIRST_NAME
DIANE
MARTIN
BRETT
CALVIN
GREGORY
ROBERT
JANICE
KEITH
ERIN
PATRICIA
VERONICA
SCOTT
SCOTT
HEATHER
ANDREA
ANDREA
DIANA
JENELLE
JENELLE
MARK
MOLLY
JEFFREY
KAREN
ANGUS
ANGUS
KIMBERLY
KIMBERLY
BRUCE
BRUCE
CHRISTIAN
CHRISTIAN
RUTH ANN
RUTH ANN
BRIANNA
EDWARD
EDWARD
SHAWN
REBECCA
REBECCA
BRENT
BRENT
BRENT
FRANCINE
MARIA
ANDREA
ERIN
MARTHA
KIMBERLY
RICHARD
V NORENE
LAURA
REBEKAH
MARK
GEORGE
PHILLIP
MOLLY
CHARLIE
CYNTHIA
KAREN
MAURA
MAURA
MAURA
CHRISTINA
CHRISTINA
CHRISTINA
SHANNON
SHANNON
SHANNON
JENNIFER
JENNIFER
MARY JAYNE
MARY
MARY
TITLE
PHONE
8013974123
3078724500
3075682499
3078362422
3078369270
(307) 325 6596
3073256596
3074675281
3074675281
3074675281
3074675281
3074675281
3072833516
3077398999
3077333636
3077339223
3077391164
3077338746
3077336222
3074134268
3074134268
3074134268
3074134268
3074134268
3074134268
3074134268
3077338677
3077338677
3077338677
3077345999
3077333636
3077345999
3077333636
3077336700
3077334627
3077338677
3077338677
3077340242
3077333636
3077333908
3077333908
3077333908
4028982675
3077333936
3077331777
3077331777
3077338002
3077338002
3077333636
3077349129
3077349129
3077349129
3077349129
3072011696
3077340242
3077337771
3077335577
3077335577
3077335577
3077335577
3072011696
3077338677
3077338677
3077338677
3077338677
3077338677
3077341005
3077333636
3077338677
3077341005
3077337003
3077333636
3077341005
3077333636
3077338677
3077341005
3077333636
3077331777
3072011489
3077333636
CLINIC NAME
PEAK PERFORMANCE SPORTS MEDICINE
Rocky Mountain Home Care
St Johns Hospital
BIG HORN CLINIC
ADVANCEPCS
ADVANCEPCS
ENERGY BASIN CLINIC
MEMORIAL HOSPITAL OF CARBON COUNTY
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
North Platte Physical Therapy
4 Peaks Clinic
4 Peaks Clinic
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
All Body Physical Therapy
All Body Physical Therapy
All Body Physical Therapy
All Body Physical Therapy
All Body Physical Therapy
All Body Physical Therapy
All Body Physical Therapy
Anesthesia Services of Jackson Hole
Anesthesia Services of Jackson Hole
Anesthesia Services of Jackson Hole
Angus Goetz DO PC
Angus Goetz DO PC
Angus Goetz DO PC
Angus Goetz DO PC
BRUCE HAYSE M.D.
BRUCE HAYSE M.D.
Christian A Guier MD
Christian A Guier MD
Cowboy Kids Pediatrics LLC
Cowboy Kids Pediatrics LLC
Curran Seeley Foundation
Curran Seeley Foundation
Curran Seeley Foundation
DME United Inc
Eagle Vision Center
East Meets West Healthcare
East Meets West Healthcare
EMERG-A-CARE
EMERG-A-CARE
EMERG-A-CARE
Excel Physical Therapy
Excel Physical Therapy
Excel Physical Therapy
Excel Physical Therapy
Family First Health PC
Family First Health PC
Family Practice Associates
FOUR PINES PHYSICAL THERAPY
FOUR PINES PHYSICAL THERAPY
FOUR PINES PHYSICAL THERAPY
FOUR PINES PHYSICAL THERAPY
George Linhardt Jr MD MBA
Glacier Anesthesia Services
Glacier Anesthesia Services
Glacier Anesthesia Services
Glacier Anesthesia Services
Glacier Anesthesia Services
Gros Ventre OB/GYN LLP
Gros Ventre OB/GYN LLP
Gros Ventre OB/GYN LLP
Gros Ventre OB/GYN LLP
Gros Ventre OB/GYN LLP
Gros Ventre OB/GYN LLP
Gros Ventre OB/GYN LLP
Gros Ventre OB/GYN LLP
Gros Ventre OB/GYN LLP
Gros Ventre OB/GYN LLP
Gros Ventre OB/GYN LLP
Integrated Health Choices
Jackson Hole Womens Care
Jackson Hole Womens Care
ADDRESS1
140 COMMERCE DR
ROCKY MOUNTAIN HOME CARE
CASTLE ROCK HOSPITAL DISTRICT
BIG HORN CLINIC
WYOMING & WHALEN
437 W WHALEN ST
1008 FELDSPAR CT
1002 MARBLE CT
HULETT CLINIC
HULETT CLINIC
HULETT CLINIC
HULETT CLINIC
HULETT CLINIC
BEAR LODGE REHABILITATION LLC
ST JOHNS FAMILY HEALTH & URGENT CARE
ST JOHNS MEDICAL CENTER
105 BUFFALO WAY
1357 S HWY 89
1425 S HWY 89
830 W BROADWAY
ALL BODY THERAPY INC
ALL BODY PHYSICAL THERAPY
ALL BODY THERAPY INC
ALL BODY THERAPY INC
ALL BODY PHYSICAL THERAPY
ALL BODY THERAPY INC
ALL BODY THERAPY INC
ANESTHESIA SERVICES OF JACKSON HOLE
TETON OUTPATIENT SERVICES
TETON OUTPATIENT SERVICES
ANGUS GOETZ DO PC
ST JOHNS MEDICAL CENTER
ANGUS GOETZ DO PC
ST JOHNS MEDICAL CENTER
BRUCE HAYSE MD
ST JOHNS HOSPITAL
CHRISTIAN A GUIER MD
TETON OUTPATIENT SERVICES
COWBOY KIDS PEDIATRICS LLC
ST JOHNS HOSPITAL
CURRAN SEELEY FOUNDATION
CURRAN SEELEY FOUNDATION
CURRAN SEELEY FOUNDATION
WYOMING MEDICAL SERVICES LLC
EAGLE VISION CENTER
EAST MEETS WEST HEALTHCARE
EAST MEETS WEST HEALTHCARE
EMERG+A+CARE
EMERG+A+CARE
ST JOHNS MEDICAL CENTER
EXCEL PHYSICAL THERAPY
EXCEL PHYSICAL THERAPY
EXCEL PHYSICAL THERAPY
EXCEL PHYSICAL THERAPY
FAMILY FIRST HEALTH PC
FAMILY FIRST HEALTH PC
FAMILY PRACTICE ASSOCIATES
FOUR PINES PHYSICAL THERAPY
FOUR PINES PHYSICAL THERAPY
FOUR PINES PHYSICAL THERAPY
FOUR PINES PHYSICAL THERAPY
GEORGE LINHARDT JR MD MBA
GLACIER ANESTHESIA SERVICES
GLACIER ANESTHESIA SERVICES
GLACIER ANESTHESIA SERVICES
GLACIER ANESTHESIA SERVICES
TETON OUTPATIENT SERVICES
GROS VENTRE OB/GYN LLP
ST JOHNS HOSPITAL
TETON OUTPATIENT SERVICES
GROS VENTRE OB/GYN LLP
JACKSON WHOLE FAMILY HEALTH
ST JOHNS HOSPITAL
GROS VENTRE OB/GYN LLP
ST JOHNS HOSPITAL
TETON OUTPATIENT SERVICES
GROS VENTRE OB/GYN LLP
ST JOHNS HOSPITAL
INTEGRATED HEALTH CHOICES
JACKSON HOLE WOMENS CARE
ST JOHNS MEDICAL CENTER
ADDRESS2
535 UINTA DR
1400 UINTA DR
156 N 6TH ST
122 MAIN
122 MAIN
122 MAIN
122 MAIN
122 MAIN
122 MAIN ST
1415 S HWY 89
625 E BROADWAY
1116 MAPLE WAY
155 E GILL ST
1116 MAPLE WAY
1116 MAPLE WAY
155 E GILL ST
1116 MAPLE WAY
1116 MAPLE WAY
150 BUFFALO WAY
150 BUFFALO WAY
150 BUFFALO WAY
945 W BROADWAY STE 202
625 E BROADWAY PO BOX 428
945 W BROADWAY STE 202
625 E BROADWAY
269 W BROADWAY
555 E BROADWAY
269 W BROADWAY
150 BUFFALO WAY
555 E BROADWAY STE 216
625 E BROADWAY
610 W BROADWAY STE L1
610 W BROADWAY STE L1
610 W BROADWAY STE L1
3060 BRIDLE DR
1325 S HWY 89
250 E BROADWAY
70 S WILSON ST
952 W BROADWAY
982 W BROADWAY
625 E BROADWAY
120 W PEARL AVE
120 W PEARL AVE
120 W PEARL AVE
120 W PEARL AVE
555 E BROADWAY STE 218
555 E BROADWAY STE 216
557 E BROADWAY
1090 S HWY 89
1090 S HWY 89
1090 S HWY 89
1090 S HWY 89
555 EAST BROADWAY
150 BUFFALO WAY
150 BUFFALO WAY
150 BUFFALO WAY
150 BUFFALO WAY
150 BUFFALO WAY
555 E BROADWAY STE 108
625 E BROADWAY
150 BUFFALO WAY
555 E BROADWAY STE 108
1110 MAPLE WAY
625 E BROADWAY
555 E BROADWAY STE 108
625 E BROADWAY
150 BUFFALO WAY
555 E BROADWAY STE 108
625 E BROADWAY
70 S WILLOW ST
140 E BROADWAY
625 E BROADWAY
CITY
GREEN RIVER
GREEN RIVER
GREEN RIVER
GREYBULL
GUERNSEY
GUERNSEY
HANNA
HANNA
HULETT
HULETT
HULETT
HULETT
HULETT
HULETT
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82935
82935
82935
82426
82214
82214
82327
82327
82720
82720
82720
82720
82720
82720
83001
83001
83002
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83002
83002
83002
83001
83001
83001
83001
83001
83001
83002
83002
83001
83001
83001
83001
83001
83001
83001
83002
83001
83002
83001
83001
83002
83002
83002
83002
83001
83001
83001
83002
83002
83002
83002
83001
83002
83002
83002
83002
83002
83001
83001
83002
83001
83001
83001
83001
83001
83002
83001
83001
83001
83001
83001
SPEC
PT
HOHE
OL
FP
PHY
PHY
PAC
EM
FP
FP
FP
FP
FP
PT
FP
FP
PHY
PHY
PHY
PHY
OT
PT
PT
PT
PT
PT
PT
AN
AN
AN
OR
OR
FP
FP
FP
FP
OR
OR
PD
PD
CUMH
CUMH
CCNR
DE
OD
PT
PT
FP
FP
FP
PT
PT
PT
PT
FP
FP
FP
PT
PT
PT
PT
SU
AN
AN
AN
AN
AN
OG
OG
OG
OG
OG
OG
OG
OG
OG
OG
OG
DIR
OG
OG
SPECIALTY_DESCR
Physical Therapist
Home Health
Otolaryngology
Family Practice
Pharmacy
Pharmacy
Physician Assistant
Emergency Medicine
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Physical Therapist
Family Practice
Family Practice
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Occupational Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Anesthesiology
Anesthesiology
Anesthesiology
Orthopaedic Surgery
Orthopaedic Surgery
Family Practice
Family Practice
Family Practice
Family Practice
Orthopaedic Surgery
Orthopaedic Surgery
Pediatrics
Pediatrics
Counselor - Mental Health
Counselor - Mental Health
Clinic/Center - Rehabilitation
Durable Medical Equipment & Medical Supplies
Optometrist
Physical Therapist
Physical Therapist
Family Practice
Family Practice
Family Practice
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Family Practice
Family Practice
Family Practice
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Surgery
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Dietitian, Registered
Obstetrics & Gynecology
Obstetrics & Gynecology
Page 24 of 57
LAST_NAME
LITTLE
LITTLE
RIDDELL
RIDDELL
RIDGWAY
WHEELER
CARR
ENRIGHT
MASON
MELLICK
MORAN
PARKER
PARKER
FULLMER
FULLMER
KLEE
KLEE
SIMMONS
GIRLING
GIRLING
MRI OF JACKSON HOLE
NEAL
ORTHOPAEDIC ASSOCIATES IMAGING LLC
NEAL
NEAL
NEAL
NEAL
BOSCHEN
BOSCHEN
BOSCHEN
BULLINGTON
BULLINGTON
BULLINGTON
GRUBE
GRUBE
WILLIAMS
WILLIAMS
WILLIAMS
BECK
BECK
BECK
JOHNSON
JOHNSON
JOHNSON
JOST
JOST
JOST
KHOURY
KHOURY
KHOURY
NOVAK
NOVAK
NOVAK
SKENE
SKENE
SKENE
WIEDENMAN
VAN HATTEN
NEAL
NEAL
NEAL
FRITCH
FRITCH
BURKE
BUTCHER
BUTCHER
BUTCHER
DOTSON
GEREN
HOYT
HOYT
KATZ
KATZ
KNIGHT
KNIGHT
KNIGHT
LITTLE
MENOLASCINO
MEYERS
MEYERS
MEYERS
08/22/2013
FIRST_NAME
JAMES
JAMES
TRAVIS
TRAVIS
ELIZABETH
KERI
KERRY
TESSA
CHARLOTTE
KIM
CHRISTINA
ALTON
ALTON
JOSHUA
JOSHUA
KARIN
KARIN
LAURA
PHILIP
PHILIP
WILLIAM
WILLIAM
WILLIAM
WILLIAM
WILLIAM
MARIANNE
MARIANNE
MARIANNE
ANDREW
ANDREW
ANDREW
JUSTIN
JUSTIN
RAFAEL
RAFAEL
RAFAEL
JOSHUA
JOSHUA
JOSHUA
LANSWORTH
LANSWORTH
LANSWORTH
HEIDI
HEIDI
HEIDI
DAVID
DAVID
DAVID
KRISTA
KRISTA
KRISTA
GEOFFREY
GEOFFREY
GEOFFREY
LANDON
BRIAN
MARY
MARY
MARY
JENNIFER
JENNIFER
JAMES
DENNIS
DENNIS
DENNIS
GARY
JAMES
LISA
LISA
GERALD
GERALD
CHARLES
CHARLES
CHARLES
JAMES
MICHAEL
ELLEN
ELLEN
ELLEN
TITLE
PHONE
3077334627
3077334627
3077334627
3077334627
3077334627
3077334627
3077337003
3077337003
3077337003
3077337003
3077337003
3077333321
3077333636
2083591888
3077334627
3077340242
3077333636
3076905558
3072011254
3072011254
3077397614
3077345999
3077345999
3077345999
3077345999
3077345999
3077345999
3077333636
8003591335
3077338677
3077333636
8003591335
3077338677
3077333636
8003591335
3077333636
8003591335
3077338677
3077333636
8003591335
3077338677
3077333636
8003591335
3077338677
3077333636
8003591335
3077338677
3077333636
8003591335
3077338677
3077333636
8003591335
3077338677
3077333636
8003591335
3077338677
3074138943
3077337173
3077345999
3077345999
3077333636
3077398999
3077333636
3077397584
3077333636
3077337222
3077394611
3077398999
3077333636
3077337222
3077394611
3077333636
3077333636
3077333636
3077333636
3077394611
3077398999
3077333636
3077337222
3077333636
3077398999
CLINIC NAME
Jackson Pediatrics
Jackson Pediatrics
Jackson Pediatrics
Jackson Pediatrics
Jackson Pediatrics
Jackson Pediatrics
Jackson Whole Family Health
Jackson Whole Family Health
Jackson Whole Family Health
Jackson Whole Family Health
Jackson Whole Family Health
JH Surgery LLC
JH Surgery LLC
Joshua R Fullmer MD
Joshua R Fullmer MD
Karin Klee MD
Karin Klee MD
Laura Simmons PT LLC
Medical Psychotherapy PC
Medical Psychotherapy PC
MRI OF JACKSON HOLE
Orthopaedic Associates Imaging LLC
Orthopaedic Associates Imaging LLC
ORTHOPAEDIC ASSOCIATES OF JACKSON HOLE
ORTHOPAEDIC ASSOCIATES OF JACKSON HOLE
ORTHOPAEDIC ASSOCIATES OF JACKSON HOLE
ORTHOPAEDIC ASSOCIATES OF JACKSON HOLE
ORTHOPAEDICS OF JACKSON HOLE
ORTHOPAEDICS OF JACKSON HOLE
ORTHOPAEDICS OF JACKSON HOLE
ORTHOPAEDICS OF JACKSON HOLE
ORTHOPAEDICS OF JACKSON HOLE
ORTHOPAEDICS OF JACKSON HOLE
ORTHOPAEDICS OF JACKSON HOLE
ORTHOPAEDICS OF JACKSON HOLE
ORTHOPAEDICS OF JACKSON HOLE
ORTHOPAEDICS OF JACKSON HOLE
ORTHOPAEDICS OF JACKSON HOLE
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Profile Massage - Sustainable Skin Care LLC
Sky Physical Therapy
SPINE CARE OF JACKSON HOLE
SPINE CARE OF JACKSON HOLE
SPINE CARE OF JACKSON HOLE
St Johns Family Health & Urgent Care
St Johns Family Health & Urgent Care
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
ADDRESS1
JACKSON PEDIATRICS PC
ST JOHNS HOSPITAL
JACKSON PEDIATRICS PC
ST JOHNS HOSPITAL
JACKSON PEDIATRICS PC
JACKSON PEDIATRICS PC
JACKSON WHOLE FAMILY HEALTH
JACKSON WHOLE FAMILY HEALTH
JACKSON WHOLE FAMILY HEALTH
JACKSON WHOLE FAMILY HEALTH
JACKSON WHOLE FAMILY HEALTH
JH SURGERY LLC
ST JOHNS MEDICAL CENTER
JOSHUA R FULLMER MD
ST JOHNS HOSPITAL
KARIN KLEE MD
ST JOHNS HOSPITAL
LAURA SIMMONS PT LLC
MEDICAL PSYCHOTHERAPY PC
MEDICAL PSYCHOTHERAPY PC
PO BOX 428
ORTHOPAEDIC ASSOCIATES IMAGING LLC
ORTHOPAEDIC ASSOCIATES IMAGING LLC
ORTHOPAEDIC ASSOCIATES IMAGING LLC
ORTHOPAEDIC ASSOCIATES OF JACKSON HOLE
ORTHOPAEDIC ASSOCIATES OF JACKSON HOLE
ORTHOPAEDIC ASSOCIATES OF JACKSON HOLE
ST JOHNS HOSPITAL
TETON ORTHOPAEDICS
TETON OUTPATIENT SERVICES
ST JOHNS MEDICAL CENTER
TETON ORTHOPAEDICS
TETON OUTPATIENT SERVICES
ST JOHNS MEDICAL CENTER
TETON ORTHOPAEDICS
ST JOHNS HOSPITAL
TETON ORTHOPAEDICS
TETON OUTPATIENT SERVICES
ST JOHNS HOSPITAL
TETON ORTHOPAEDICS
TETON OUTPATIENT SERVICES
ST JOHNS HOSPITAL
TETON ORTHOPAEDICS
TETON OUTPATIENT SERVICES
ST JOHNS HOSPITAL
TETON ORTHOPAEDICS
TETON OUTPATIENT SERVICES
ST JOHNS HOSPITAL
TETON ORTHOPAEDICS
TETON OUTPATIENT SERVICES
ST JOHNS HOSPITAL
TETON ORTHOPAEDICS
TETON OUTPATIENT SERVICES
ST JOHNS HOSPITAL
TETON ORTHOPAEDICS
TETON OUTPATIENT SERVICES
PROFILE MASSAGE
SKY PHYSICAL THERAPY
ORTHOPAEDIC ASSOCIATES IMAGING LLC
SPINE CARE OF JACKSON
ST JOHNS MEDICAL CENTER
ST JOHNS FAMILY HEALTH & URGENT CARE
ST JOHNS MEDICAL CENTER
SPECIALTY CLINICS
ST JOHNS HOSPITAL
ST JOHNS INTERNAL MEDICINE
ST JOHNS PHYSICIAN SERVICES
ST JOHNS FAMILY PRACTICE
ST JOHNS PHYSICIAN SERVICES
ST JOHNS INTERNAL MEDICINE
ST JOHNS PHYSICIAN SERVICES
ST JOHNS MEDICAL CENTER
ST JOHNS PHYSICIAN SERVICES
ST JOHNS HOSPITAL
ST JOHNS MEDICAL CENTER
ST JOHNS PHYSICIAN SERVICES
ST JOHNS URGENT CARE AND FAMILY PRACTICE
ST JOHNS PHYSICIAN SERVICES
ST JOHNS INTERNAL MEDICINE
ST JOHNS PHYSICIAN SERVICES
URGENT CARE OF JACKSON HOLE LLC
ADDRESS2
557 E BROADWAY
555 E BROADWAY
557 E BROADWAY
555 E BROADWAY
557 E BROADWAY
557 E BROADWAY
1110 MAPLE WAY
1110 MAPLE WAY
1110 MAPLE WAY
1110 MAPLE WAY
1110 MAPLE WAY
555 E BROADWAY STE 212
625 E BROADWAY
1325 US 89 STE 102
555 E BROADWAY
555 E BROADWAY STE 216
625 E BROADWAY
215 SCOTT LANE
140 E BROADWAY
215 E SIMPSON AVE
945 W BROADWAY
945 W BROADWAY
945 W BROADWAY
150 BUFFALO WAY
625 E BROADWAY
945 W BROADWAY STE 202
625 E BROADWAY
555 E BROADWAY
150 BUFFALO WAY
625 E BROADWAY
555 E BROADWAY
150 BUFFALO WAY
625 E BROADWAY
555 E BROADWAY
625 E BROADWAY
555 E BROADWAY
150 BUFFALO WAY
625 E BROADWAY
555 E BROADWAY
150 BUFFALO WAY
625 E BROADWAY
555 E BROADWAY
150 BUFFALO WAY
625 E BROADWAY
555 E BROADWAY
150 BUFFALO WAY
625 E BROADWAY
555 E BROADWAY
150 BUFFALO WAY
625 E BROADWAY
555 E BROADWAY
150 BUFFALO WAY
625 E BROADWAY
555 E BROADWAY
150 BUFFALO WAY
235 E BROADWAY
970 W BROADWAY
945 W BROADWAY
945 W BROADWAY STE 202
625 E BROADWAY PO BOX 428
1415 S HWY 89
625 E BROADWAY
625 E BROADWAY
625 E BROADWAY
555 E BROADWAY STE 201
555 E BROADWAY
1415 S HIGHWAY 89
625 E BROADWAY
555 E BROADWAY STE 201
555 E BROADWAY
625 E BROADWAY PO BOX 428
625 E BROADWAY
625 E BROADWAY
625 E BROADWAY PO BOX 428
555 E BROADWAY
1415 S US HWY 89
625 E BROADWAY
555 E BROADWAY STE 201
625 E BROADWAY
1415 S US HWY 89
CITY
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83002
83002
83001
83002
83002
83001
83002
83001
83002
83002
83001
83002
83002
83001
83002
83002
83001
83002
83002
83001
83002
83002
83001
83002
83002
83001
83002
83002
83001
83002
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83002
83001
83001
83001
83002
83001
83001
83001
83002
83002
83001
83002
83002
SPEC
PD
PD
PD
PD
PD
PD
FP
FP
FP
FP
FP
SU
SU
OP
OP
PD
PD
PT
PSPS
PSPS
RADR
CCRI
CCRI
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
RE
RE
RE
XTMA
PT
OR
OR
OR
FP
FP
IMCV
IM
IM
IM
IM
IM
IM
IM
IM
IM
IM
IM
IM
FP
IM
IM
IM
IM
SPECIALTY_DESCR
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Surgery
Surgery
Ophthalmology
Ophthalmology
Pediatrics
Pediatrics
Physical Therapist
Psychiatry & Neurology - Psychiatry
Psychiatry & Neurology - Psychiatry
Radiology - Diagnostic Radiology
Clinic/Center - Magnetic Resonance Imaging (MRI)
Clinic/Center - Magnetic Resonance Imaging (MRI)
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Massage Therapist
Physical Therapist
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Family Practice
Family Practice
Internal Medicine - Cardiovascular Disease
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Family Practice
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Page 25 of 57
LAST_NAME
NORTH
NORTH
PETERSEN
POORE
POORE
POORE
POORE
POORE
RIDDELL
STEARN
STEARN
STEARN
STEARN
STEARN
TROTT
TROTT
TURNER
WEISS
WHEELER
ROSENBERG
ROSENBERG
WATERHOUSE
WATERHOUSE
WATERHOUSE
GREENBAUM
HOSPICE OF THE TETONS
JOHNSON
MAZZOLA
MAZZOLA
MCKAY
MORGAN
SMITH
ST JOHNS HOSPITAL AUDIOLOGY
ST JOHNS HOSPITAL CARDIAC REHABILITATION
ST JOHNS HOSPITAL CHEMOTHERAPY
ST JOHNS HOSPITAL EMERGENCY SERVICES
ST JOHNS HOSPITAL PAIN MANAGEMENT SERVICES
ST JOHNS HOSPITAL PHYSICAL THERAPY
ST JOHNS HOSPITAL PROFESSIONAL HOME CARE
ST JOHNS HOSPITAL RESPIRATORY THERAPY
ST JOHNS HOSPITAL SURGICENTER
ST. JOHNS MEDICAL CENTER
VARNER
WARD
NELSON
BAKER
BAKER
RAMSAY
RAMSAY
ENRICO
GRIGGS
LAWLESS
LOGAN
TETON OUTPATIENT SERVICES
DURBORAW
LERCH
LERCH
POCKAT
POCKAT
WHITE
RENNER
VARNER
LOWE
LOWE
LOWE
WESTERN MEDICAL EQUIPMENT
WESTERN MEDICAL EQUIPMENT
WESTERN MEDICAL EQUIPMENT
MENOLASCINO
ANTHONY
ANTHONY
GEORGE
GEORGE
NOYES
VIGNAROLI
DARNELL
DARNELL
GONAZLEZ
GOSAR
GOSAR
KIRVEN
08/22/2013
FIRST_NAME
APRIL
APRIL
ELIZA
PHILIP
PHILIP
PHILIP
PHILIP
PHILIP
TRAVIS
MARTHA
MARTHA
MARTHA
MARTHA
MARTHA
MARTIN
MARTIN
CHRISTINE
JONATHAN
ALBERT
MICHAEL
MICHAEL
GEORGE
GEORGE
GEORGE
JEFFREY
ADAM
ROBERT
ROBERT
RICHARD
VAUGHN
WILLIAM
MICHAEL
JOHN
STEVEN
BRITTANY
JONATHAN
WILLIAM
WILLIAM
AMANDA
CYNTHIA
CASSANDRA
ELIZABETH
CATHERINE
THERESA
THERESA
THOMAS
THOMAS
MARY KATIE
DAVID
MICHAEL
PHILLIP
PHILLIP
PHILLIP
MICHAEL
GIOVANNINA
GIOVANNINA
S DOUGLAS
S DOUGLAS
KATHRYN
LAURA
BRIAN
TRACY
HERMILO
GRACE
GRACE
LAWRENCE
TITLE
PHONE
3077337222
3077398999
3077399141
3077394662
3077333636
3077338677
3077338677
3077338677
3077333636
3077397434
3077398999
3077337222
3077333636
3077394611
3077399141
3077339141
3077333636
3077397584
3077333636
3077333636
3077330422
3077333636
3077333636
3077330422
3077333636
3077397465
3077333636
3077333636
3077397584
3077333636
3077333636
3077333636
3077339141
3077397626
3077396101
3077397250
3077396100
3077397626
3077397465
3077397393
3077396100
(307) 733 3636
3077397584
3077397584
3077399500
3077341800
3077341800
3077331051
3077331051
3077342877
3077342877
3077342877
3077342877
3077338677
8005758337
3077333636
3077334585
3077333636
3077336520
3077336520
3077333636
3077333636
3077333636
3077338677
3077337460
8884062042
8884062042
8884062042
3077333636
3077333636
3077341313
3077333636
3077341313
3077341313
3077341313
3077382360
3077382360
3077382360
3077382360
3077382360
3077382360
CLINIC NAME
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Hospital
St Johns Surgical Group PC
St Johns Surgical Group PC
St Johns Surgical Group PC
St Johns Surgical Group PC
St Johns Surgical Group PC
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
Steven Nelson PhD
Teton Dermatology
Teton Dermatology
Teton Eye Clinic
Teton Eye Clinic
Teton Hand Therapy
Teton Hand Therapy
Teton Hand Therapy
Teton Hand Therapy
Teton Outpatient Services
The Center for Aesthetics
Theresa Lerch CNM CFNP
Theresa Lerch CNM CFNP
Tom Pockat MD PC
Tom Pockat MD PC
Tom Pockat MD PC
UNIV OF UTAH DEPT OF NEUROLOGY
UNIV OF UTAH OB/GYN MATERNAL FETAL MED
Urology Associates Medical Group PC
Urology Associates Medical Group PC
Urology Associates Medical Group PC
Western Medical Equipment
Western Medical Equipment
Western Medical Equipment
Wilson Medical
Womens Health Center and Family Care Clinic LLC
Womens Health Center and Family Care Clinic LLC
Womens Health Center and Family Care Clinic LLC
Womens Health Center and Family Care Clinic LLC
Womens Health Center and Family Care Clinic LLC
Womens Health Center and Family Care Clinic LLC
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
ADDRESS1
ADDRESS2
ST JOHNS INTERNAL MEDICINE
555 E BROADWAY STE 201
ST JOHNS URGENT CARE AND FAMILY PRACTICE
1415 S US HWY 89
ST JOHNS AUDIOLOGY AND ENT
555 E BROADWAY
ST JOHNS HOSPITAL
555 E BROADWAY STE 212
ST JOHNS HOSPITAL
625 E BROADWAY
TETON OUTPATIENT SERVICES
100 BUFFALO WAY
TETON OUTPATIENT SERVICES
150 BUFFALO WAY
TETON OUTPATIENT SERVICES
450 BUFFALO WAY
ST JOHNS MEDICAL CENTER
625 E BROADWAY
ST JOHNS COGNITIVE HEALTH
555 E BROADWAY STE 218
ST JOHNS FAMILY HEALTH & URGENT CARE
1415 S HWY 89
ST JOHNS INTERNAL MEDICINE
555 E BROADWAY STE 201
ST JOHNS MEDICAL CENTER
625 E BROADWAY PO BOX 428
ST JOHNS PHYSICIAN SERVICES
555 E BROADWAY
ST JOHNS AUDIOLOGY AND ENT
555 E BROADWAY
ST JOHNS ENT
555 E BROADWAY STE 224
ST JOHNS MEDICAL CENTER
625 E BROADWAY
SPECIALTY CLINICS
625 E BROADWAY
ST JOHNS MEDICAL CENTER
625 E BROADWAY
ST JOHNS MEDICAL CENTER
625 E BROADWAY PO BOX 428
ST JOHNS SURGICAL GROUP
557 E BROADWAY STE 207
ST JOHNS HOSPITAL
625 E BROADWAY
ST JOHNS MEDICAL CENTER
625 E BROADWAY PO BOX 428
ST JOHNS SURGICAL GROUP
557 E BROADWAY STE 207
ST JOHNS MEDICAL CENTER
625 E BROADWAY
HOSPICE OF THE TETONS
555 E BROADWAY
ST JOHNS MEDICAL CENTER
625 E BROADWAY
ST JOHNS MEDICAL CENTER
675 E BROADWAY
SPECIALTY CLINICS
625 E BROADWAY
ST JOHNS MEDICAL CENTER
625 E BROADWAY
ST JOHNS HOSPITAL
625 E BROADWAY
ST JOHNS HOSPITAL
625 E BROADWAY
ST JOHNS HOSPITAL AUDIOLOGY
625 E BROADWAY
ST JOHNS HOSPITAL CARDIAC REHABILITATION
625 E BROADWAY
ST JOHNS HOSPITAL CHEMOTHERAPY
625 E BROADWAY
ST JOHNS HOSPITAL EMERGENCY SERVICES
625 E BROADWAY
ST JOHNS HOSPITAL PAIN MANAGEMENT SERVICES
625 E BROADWAY
ST JOHNS HOSPITAL PHYSICAL THERAPY
555 E BROADWAY
ST JOHNS HOSPITAL PROFESSIONAL HOME CARE
555 E BROADWAY
ST JOHNS HOSPITAL RESPIRATORY THERAPY
625 E BROADWAY
ST JOHNS HOSPITAL SURGICENTER
625 E BROADWAY
625 E BROADWAY
SPECIALTY CLINICS
625 E BROADWAY
SPECIALTY CLINICS
625 E BROADWAY
STEVEN A NELSON PHD
140 E BROADWAY STE 25
TETON DERMATOLOGY
555 E BROADWAY STE 229
TETON DERMATOLOGY
555 E BROADWAY STE 229
TETON EYE CLINIC
550 E BROADWAY
TETON EYE CLINIC
555 E BROADWAY STE 214
TETON HAND THERAPY
310 E BROADWAY
TETON HAND THERAPY
310 E BROADWAY
TETON HAND THERAPY
310 E BROADWAY
TETON HAND THERAPY
310 E BROADWAY
TETON OUTPATIENT SERVICES
150 BUFFALO WAY
THE CENTER FOR AESTHETICS
557 E BROADWAY
ST JOHNS MEDICAL CENTER
625 E BROADWAY
THERESA LERCH CNM CFNP
320 E BROADWAY STE 1C
ST JOHNS HOSPITAL
625 E BROADWAY
TOM POCKAT MD PC
555 E BROADWAY STE 202
TOM POCKAT MD PC
555 E BROADWAY STE 202
ST JOHNS MEDICAL CENTER
625 E BROADWAY
ST JOHNS HOSPITAL
625 E BROADWAY
ST JOHNS HOSPITAL
625 E BROADWAY
TETON OUTPATIENT SERVICES
150 BUFFALO WAY
UROLOGY ASSOCIATES MEDICAL GROUP PC
555 E BROADWAY
WESTERN MEDICAL EQUIPMENT
120 WEST PEARL AVE
WESTERN MEDICAL EQUIPMENT
220 E BROADWAY
WESTERN MEDICAL EQUIPMENT
90 MACLEOD DR
ST JOHNS MEDICAL CENTER
625 E BROADWAY
ST JOHNS HOSPITAL
625 E BROADWAY
WOMENS HEALTH CENTER AND FAMILY CARE CLINIC LLC555 E BROADWAY STE 108
ST JOHNS HOSPITAL
625 E BROADWAY
WOMENS HEALTH CENTER AND FAMILY CARE CLINIC LLC555 E BROADWAY STE 108
WOMENS HEALTH CENTER AND FAMILY CARE CLINIC LLC555 E BROADWAY STE 108
WOMENS HEALTH CENTER AND FAMILY CARE CLINIC LLC555 E BROADWAY STE 108
THE FAMILY MEDICAL CENTER
246 NOLAN AVE
THE FAMILY MEDICAL CENTER
246 NOLAN AVE
THE FAMILY MEDICAL CENTER
246 NOLAN AVE
THE FAMILY MEDICAL CENTER
246 NOLAN AVE
THE FAMILY MEDICAL CENTER
268 NOLAN AVE
THE FAMILY MEDICAL CENTER
246 NOLAN AVE
CITY
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
KAYCEE
KAYCEE
KAYCEE
KAYCEE
KAYCEE
KAYCEE
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
83001
83002
83001
83001
83001
83001
83002
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83002
83001
83001
83002
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83002
83001
83001
83002
83001
83001
83001
83001
83001
83001
83002
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
83001
82639
82639
82639
82639
82639
82639
SPEC
FP
FP
AU
SU
SU
SU
SU
SU
PD
IM
IM
IM
IM
IM
OL
OL
IM
IMEP
EM
SU
SU
SU
SU
SU
EM
HSCB
EM
IMPU
IMPU
EM
FP
EM
AU
AU
AU
AU
AU
AU
AU
AU
AU
HSP
OGMF
IMHE
PY
DM
DM
OP
OP
OT
OT
OT
OT
CCSU
OP
FP
FP
PD
PD
PD
PSNE
OGMF
SUUR
SUUR
SUUR
DE
DE
DE
IM
OG
OG
OG
OG
OG
FP
FP
FP
FP
FP
FP
FP
SPECIALTY_DESCR
Family Practice
Family Practice
Audiologist
Surgery
Surgery
Surgery
Surgery
Surgery
Pediatrics
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Otolaryngology
Otolaryngology
Internal Medicine
Internal Medicine - Clinical Cardiac Electrophysiology
Emergency Medicine
Surgery
Surgery
Surgery
Surgery
Surgery
Emergency Medicine
Hospice Care, Community Based
Emergency Medicine
Internal Medicine - Pulmonary Disease
Internal Medicine - Pulmonary Disease
Emergency Medicine
Family Practice
Emergency Medicine
Audiologist
Audiologist
Audiologist
Audiologist
Audiologist
Audiologist
Audiologist
Audiologist
Audiologist
HOSPITAL
Obstetrics & Gynecology - Maternal & Fetal Medicine
Internal Medicine - Hematology
Psychologist
Dermatology
Dermatology
Ophthalmology
Ophthalmology
Occupational Therapist
Occupational Therapist
Occupational Therapist
Occupational Therapist
Clinic/Center - Ambulatory Surgical
Ophthalmology
Family Practice
Family Practice
Pediatrics
Pediatrics
Pediatrics
Psychiatry & Neurology - Neurology
Obstetrics & Gynecology - Maternal & Fetal Medicine
Urology
Urology
Urology
Durable Medical Equipment & Medical Supplies
Durable Medical Equipment & Medical Supplies
Durable Medical Equipment & Medical Supplies
Internal Medicine
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Page 26 of 57
LAST_NAME
KIRVEN
KNIERIM
LUDWIG
RUBY
SCHUELER
STRANNIGAN
TABB
IGA KEMMERER PHARMACY
SO. LINCOLN MED CTR PHARMACY
YASUDA
SKEDROS
SOUTH LINCOLN MEDICAL CENTER
BALDWIN
GEORGE
KEETCH
KRELL
SEILER
STARR
YASUDA
GEORGE
MCRAE'S PHARM UNITED DRUG
PALACE PHARMACY
WHITTENBERGER
EATON
BRITT
LAMBLIN
LAMBLIN
LEWIS
ALDERSON
BOUGERE
CHODON
CONNER
DEL REAL
ESTEP
FEATHERINGILL
FUHR
GARRETT
HANSER
HATCH
JACOBS
JIMENEZ
MASSON
MCMAHON
PAQUIN
PARKER
POWELL
SELVIG
SIMPSON
SPARKS
TINLEY
BARNES
BARNES
FALLIN
FIRTH
STAMPS
BREWSTER
MERRITT
MERRITT
MAZUR
PLUNKETT
WHIPP
ASBELL
EATON
FRANCIS
GOMENDI-SMITH
KAUFMAN
KINDLE
NELSON
PHISTER
CAMPBELL
ALLEY
BOWEN
SCOTT
LAGRECA
PEARSON
PETRO
PLATZ
BAINTER
BRUBAKER
DECLUE
GALLO
08/22/2013
FIRST_NAME
LAWRENCE
GABRIELE
RYAN
BLAINE
MARK
LAYNE
A DOZIER
TITLE
GREGORY
DEMETRIOS
FRED
S. DOUGLAS
LAURIE
GEORGE
CHAD
JEREMY
GREGORY
S DOUGLAS
BROCK
WENDY
CORNELIUS
CORY
CORY
DENNIS
GERMAINE
SYDNA
KALSANG
BARBARA
FRANK
DONNA
TONIE
AMY
KEVIN
MICKI
EMMA
JEANNE
GEORGE
JENNIFER
PATTI
MARLENE
REBECCA
SHANNON
RYAN
REBECCA
KAYSE
JOHN
MARY
RICHARD
CHERYL
RYAN
THOMAS
NANCY
WALTER DAVIS
WALTER DAVIS
MICHELLE
MARK
JOHN
KIM
WENDY
TY
WHITTNEY
LORIN
JOHN
KRISTOPHER
SCOTT
ROBERT
MICHAEL
CHANTEL
KATHY
BRIAN
SUSAN
KATHLEEN
STEVEN
TODD
JAMES
PATRICIA
KACIE
PHONE
3077382360
3077382360
3077382360
3077382360
3077382360
3077382360
3077382360
3078774209
3078774401
3078774401
3078774401
3078774401
(307) 877 4496
MD
MD
PT
PT
PT
MD
FNP
DO
FNP
MD
(307) 877 4496
(307) 877 4496
(307) 877 4496
(307) 877 4496
(307) 877 4496
3078774496
3073325712
3073222270
8003251774
3073497347
3073329720
3073329720
3073324420
3073324420
3073322231
3073322231
3073322231
3073322231
3073322231
3073322231
3073322231
3073322231
3073322231
3073322231
3073322231
3073322231
3073322231
3073322231
3073322231
3073322231
3073322231
3073322231
3073322231
3073322231
3073322231
3073322231
(307) 332 2185
(307) 332 2185
(307) 332 2185
(307) 332 2185
(307) 332 2185
3073357555
3073357555
3073324420
8004437173
8004437173
3073329720
3073325240
3078567021
(307) 856 7021
(307) 856 7021
(307) 332 5240
(307) 856 7021
(307) 332 5240
(307) 856 7021
3073354104
3073325088
3073357678
3073357678
3073325272
(307) 332 1551
(307) 332 1551
(307) 332 1551
(307) 332 2941
(307) 332 2941
(307) 332 2941
(307) 332 2941
CLINIC NAME
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
FAMILY MEDICAL CENTER
ADVANCEPCS
ADVANCEPCS
Gregory M Yasuda MD
Mountain West Ear Nose & Throat PLLC
SOUTH LINCOLN MEDICAL CENTER
SOUTH LINCOLN MEDICAL CLINIC
SOUTH LINCOLN MEDICAL CLINIC
SOUTH LINCOLN MEDICAL CLINIC
SOUTH LINCOLN MEDICAL CLINIC
SOUTH LINCOLN MEDICAL CLINIC
SOUTH LINCOLN MEDICAL CLINIC
SOUTH LINCOLN MEDICAL CLINIC
Womens Health Center and Family Care Clinic LLC
ADVANCEPCS
ADVANCEPCS
BILLINGS CLINIC
Body Works Physical Therapy
CORNELIUS L. BRITT, M.D.
CORY J LAMBLIN MD PC
CORY J LAMBLIN MD PC
Dennis M Lewis MD PC
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNTY PEDIATRIC CLINIC
FREMONT COUNTY PEDIATRIC CLINIC
FREMONT COUNTY PEDIATRIC CLINIC
FREMONT COUNTY PEDIATRIC CLINIC
FREMONT COUNTY PEDIATRIC CLINIC
FREMONT EAR NOSE AND THROAT
FREMONT EAR NOSE AND THROAT
FREMONT EAR NOSE AND THROAT
FREMONT ORTHOPAEDIC ASSOC. P.C.
FREMONT ORTHOPAEDIC ASSOC. P.C.
FREMONT ORTHOPAEDIC ASSOC. P.C.
FREMONT THERAPY GROUP LLC
FREMONT THERAPY GROUP LLC
FREMONT THERAPY GROUP LLC
FREMONT THERAPY GROUP LLC
FREMONT THERAPY GROUP LLC
FREMONT THERAPY GROUP LLC
FREMONT THERAPY GROUP LLC
FREMONT THERAPY GROUP LLC
Gannett Peak Physical Medicine LLC
HIGH COUNTRY AUDIOLOGY
HIGH MOUNTAIN FITNESS PT LLC
HIGH MOUNTAIN FITNESS PT LLC
LAGRECA EYE CLINIC PC
LANDER FAMILY MEDICINE PC
LANDER FAMILY MEDICINE PC
LANDER FAMILY MEDICINE PC
LANDER MEDICAL CLINIC
LANDER MEDICAL CLINIC
LANDER MEDICAL CLINIC
LANDER MEDICAL CLINIC
ADDRESS1
ADDRESS2
THE FAMILY MEDICAL CENTER
268 NOLAN AVE
THE FAMILY MEDICAL CENTER
246 NOLAN AVE
THE FAMILY MEDICAL CENTER
246 NOLAN AVE
THE FAMILY MEDICAL CENTER
246 NOLAN AVE
THE FAMILY MEDICAL CENTER
246 NOLAN AVE
THE FAMILY MEDICAL CENTER
268 NOLAN AVE
THE FAMILY MEDICAL CENTER
246 NOLAN AVE
620 PINE AVE
711 ONYX ST
SOUTH LINCOLN MEDICAL CENTER
711 ONYX ST
SOUTH LINCOLN MEDICAL CENTER
711 ONYX ST
711 ONYX ST
711 ONYX ST
SOUTH LINCOLN MEDICAL CLINIC
711 ONYX STREET
711 ONYX ST
711 ONYX ST
SOUTH LINCOLN MEDICAL CENTER
711 ONYX STREET
711 ONYX ST
PO BOX 390
WOMENS HEALTH CENTER AND FAMILY CARE CLINIC LLC711 ONYX
745 MAIN ST
166 WEST MAIN ST
BILLINGS CLINIC
745 BUENA VISTA
BODY WORKS PHYSICAL THERAPY
745 BUENA VISTA DR
815 E MAIN ST
CORY J LAMBLIN MD PC
815 E MAIN
LANDER REGIONAL HOSPITAL
1320 BISHOP RANDALL DR
LANDER VALLEY MEDICAL CENTER
1320 BISHOP RANDALL DR
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
FREMONT COUNSELING SERVICE
748 MAIN ST
115 WYOMING ST #R
115 WYOMING ST #R
115 WYOMING ST
115 WYOMING ST
115 WYOMING ST
FREMONT ENT
8185 HWY 789
FREMONT ENT
8185 HWY 789
LANDER REGIONAL HOSPITAL
1320 BISHOP RANDALL DR
815 E MAIN ST
815 E MAIN ST
815 E MAIN ST
FREMONT THERAPY GROUP
8168 HWY 789
8168 HWY 789
FREMONT THERAPY GROUP, LLC
8168 HIGHWAY 789
8168 HWY 789
8168 HWY 789
8168 HWY 789
8168 HWY 789
8168 HWY 789
GANNETT PEAK PHYSICAL MEDICINE LLC
745 BUENA VISTA
HIGH COUNTRY AUDIOLOGY PC
125 MAIN ST #A
669 MAIN ST
HIGH MOUNTAIN FITNESS PHYSICAL THERAPY & PILATES669 MAIN ST
LANDER EYE CLINIC
1150 MAIN ST
LANDER FAMILY MEDICINE
8195 HWY. 789
LANDER FAMILY MEDICINE
8195 HWY. 789
LANDER FAMILY MEDICINE
8195 HWY. 789
LANDER MEDICAL CLINIC
745 BUENA VISTA DR
745 BUENA VISTA DR
LANDER MEDICAL CLINIC
745 BUENA VISTA DR
LANDER MEDICAL CLINIC, PC
745 BUENA VISTA DR
CITY
KAYCEE
KAYCEE
KAYCEE
KAYCEE
KAYCEE
KAYCEE
KAYCEE
KEMMERER
KEMMERER
KEMMERER
KEMMERER
KEMMERER
KEMMERER
KEMMERER
KEMMERER
KEMMERER
KEMMERER
KEMMERER
KEMMERER
KEMMERER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82639
82639
82639
82639
82639
82639
82639
83101
83101
83101
83101
83101
83101
83101
83101
83101
83101
83101
83101
83101
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
825203919
825203919
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
825202942
825202942
825202942
82520
82520
82520
82520
SPEC
FP
FP
FP
SU
FP
FP
FP
PHY
PHY
SU
OL
HSP
PAC
OG
NP
FP
FP
FP
SU
OG
PHY
PHY
IMHO
PT
OR
OR
OR
SU
CUMH
CUMH
CUMH
CUMH
PSPS
RN
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
PAC
CUMH
CUMH
PD
PD
PD
PD
PD
OL
OL
OL
OT
PT
OR
PT
PT
PT
PT
PT
PT
PT
PT
RE
AU
PT
PT
OP
FP
NPFA
PAC
IM
OG
NP
FP
SPECIALTY_DESCR
Family Practice
Family Practice
Family Practice
Surgery
Family Practice
Family Practice
Family Practice
Pharmacy
Pharmacy
Surgery
Otolaryngology
HOSPITAL
Physician Assistant
Obstetrics & Gynecology
Nurse Practitioner
Family Practice
Family Practice
Family Practice
Surgery
Obstetrics & Gynecology
Pharmacy
Pharmacy
Internal Medicine - Hematology & Oncology
Physical Therapist
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Surgery
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychiatry & Neurology - Psychiatry
Registered Nurse
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Physician Assistant
Counselor - Mental Health
Counselor - Mental Health
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Otolaryngology
Otolaryngology
Otolaryngology
Occupational Therapist
Physical Therapist
Orthopaedic Surgery
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Medicine & Rehabilitation
Audiologist
Physical Therapist
Physical Therapist
Ophthalmology
Family Practice
Nurse Practitioner - Family
Physician Assistant
Internal Medicine
Obstetrics & Gynecology
Nurse Practitioner
Family Practice
Page 27 of 57
LAST_NAME
GULLICKSON
HOPKIN
PHIPPS
SCHEER
SIEBERSMA
SWENSON
WAGNER
LEHMKUHLER
MILLER
BAINTER
HOPKIN
LANDER VALLEY MEDICAL CENTER
MILLER
NABI
SCHEER
WOODARD
LOWHAM
LOWHAM
QUILLEN
QUILLEN
HEDIGER
PRYOR
CRANE
DUNAWAY
ZEBROSKI
AHMAD
FABER
GOFF
HURLBUT MILLER
HICKNER
HICKNER
HOLCOMB
LARSEN
MAZUR
ZEISS RANEY
JONES
WHITE
KOMRS
FLUTURE
IVANOV
PICKRELL
BAKER
FISHER
BROOKS
ALBERTSONS #830
EXPRESS PHARMACY
KMART #9792
RITE AID PHARMACY
SAFEWAY #2466
UNIVERSITY OF WY STUDENT HEALTH
WALMART #1412
BRESSLER
SIMS
BRUNDIDGE
BYERS
CARLSON
CODIGA
CURTIS-PRICE
GUSTAFSON
HULIT
PETERSON
RIGONI
ROBERTSON
SALMONS
SCHAAF
SHAWVER
STONE
STRAYER
YOUNG
HOLLON
KING
GONDALIA
LUTTERMAN
ERIKSEN
COFFEY
CRECCA
JONES
MARTIN
PROCTOR
BUNN
CLAUDE
08/22/2013
FIRST_NAME
DONALD
JUSTIN
DOUGLAS
GENTIAN
JAN
MICHAEL
KARLA
DEAN
MALACHI
TODD
JUSTIN
TITLE
MD
MD
MD
MALACHI
ANISSA
GENTIAN
MARK
ANTHONY
ANTHONY
CAROL
CAROL
ROY
MICHAEL
PETER
THOMAS
RUTH
SAAD
DAVID
MITCHELL
PETER
STEPHEN
STEPHEN
VIRGINIA
BENJAMIN
MICHELLE
MARGARET
TROY
JAMES
CELESTA
ADRIAN
OLEG
JOHN
CALEB
TIMOTHY
GREGORY
DARREN
KENDRA
PHYLLIS
JOHN
MARTEN
MICHAEL
ROBYN
PAUL
GARY
LARS
KRISTEN
KENNETH
DESDAMONA
JOSEPH
BONNIE
LUDONNA
ROBERT
MURRAY
JAMES
EVERETT
LAKHMAN
MAUREEN
CHRISTOPHER
CHARLES
JOHN
HARRY
RANDALL
LANCE
ANNE
JONATHAN
PHONE
(307) 332 2941
(307) 332 2941
(307) 332 2941
(307) 332 2941
(307) 332 2941
(307) 332 2941
(307) 332 2941
3073326148
(307) 332 2941
3073324420
3073324420
(307) 335 6213
3073324420
3073324420
3073324420
3073324420
3073324420
3073326222
3073324420
3073326222
(307) 332 2357
3073329720
(307) 332 5886
3073322223
3073322223
8884964400
8012644444
8012644444
3073324420
3073325420
3078577074
3078577074
3078577074
3078577074
(307) 332 0910
3073324420
3073320284
3073322941
3073322941
3073322941
3077210022
3077210022
9704844758
3077457246
3077451557
3077424995
3077423664
3077454224
3077666602
3077456112
3077426840
3077426840
NP
(307) 742 2141
(307) 745 8800
(307) 742 2141
(307) 742 2141
(307) 742 2141
(307) 742 2141
MD
DPT
(307) 745 8931
3077458554
3077458554
(307) 778 2015
3077601998
9702211177
3077456065
3077456065
(307) 745 6065
(307) 745 6065
(307) 745 6065
3076380300
(800) 824 4305
CLINIC NAME
LANDER MEDICAL CLINIC
LANDER MEDICAL CLINIC
LANDER MEDICAL CLINIC
LANDER MEDICAL CLINIC
LANDER MEDICAL CLINIC
LANDER MEDICAL CLINIC
LANDER MEDICAL CLINIC
LANDER VALLEY CHIROPRACTIC
LANDER VALLEY FAMILY PRACTICE
LANDER VALLEY MEDICAL CENTER
LANDER VALLEY MEDICAL CENTER
LANDER VALLEY MEDICAL CENTER
LANDER VALLEY MEDICAL CENTER
LANDER VALLEY MEDICAL CENTER
LANDER VALLEY MEDICAL CENTER
LANDER VALLEY MEDICAL CENTER
Lowham Surgery & Endoscopy
Lowham Surgery & Endoscopy
Lowham Surgery & Endoscopy
Lowham Surgery & Endoscopy
MEMORIAL HOSPITAL OF CARBON COUNTY
MICHAEL W. PRYOR, M.D.
PETER CRANE M.D.
POPO AGIE WOMENS CLINIC INC
POPO AGIE WOMENS CLINIC INC
ROCKY MOUNTAIN RETINA CONSULTANTS
ROCKY MOUNTAIN RETINA CONSULTANTS
ROCKY MOUNTAIN RETINA CONSULTANTS
ROCKY MOUNTAIN RETINA CONSULTANTS
STEPHEN A. HICKNER, MD, LLC
STEPHEN A. HICKNER, MD, LLC
Teton Therapy PC
Teton Therapy PC
Teton Therapy PC
Teton Therapy PC
TROY R JONES MD PC
Wind River Clinic
WIND RIVER HEARING SERVICES
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Advanced Foot Care PC
Advanced Foot Care PC
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ALBANY COUNTY CHIROPRACTIC CENTER
ALBANY COUNTY CHIROPRACTIC CENTER
ALBANY COUNTY HOSPITAL DISTRICT
ALBANY COUNTY HOSPITAL DISTRICT
ALBANY COUNTY HOSPITAL DISTRICT
ALBANY COUNTY HOSPITAL DISTRICT
ALBANY COUNTY HOSPITAL DISTRICT
ALBANY COUNTY HOSPITAL DISTRICT
ALBANY COUNTY HOSPITAL DISTRICT
ALBANY COUNTY HOSPITAL DISTRICT
ALBANY COUNTY HOSPITAL DISTRICT
ALBANY COUNTY HOSPITAL DISTRICT
ALBANY COUNTY HOSPITAL DISTRICT
ALBANY COUNTY HOSPITAL DISTRICT
ALBANY COUNTY HOSPITAL DISTRICT
ALBANY COUNTY HOSPITAL DISTRICT
ALBANY COUNTY HOSPITAL DISTRICT
ALBANY COUNTY HOSPITAL DISTRICT
ALBANY EYE CARE
ALBANY EYE CARE
ALLERGY & ASTHMA CLINIC OF WY, LLC
ALPENGLOW WELLNESS, INC
ALPINE EAR, NOSE & THROAT, P.C.
ANESTHESIA ASSOCIATES OF LARAMIE, LLC
ANESTHESIA ASSOCIATES OF LARAMIE, LLC
ANESTHESIA ASSOCIATES OF LARAMIE, LLC
ANESTHESIA ASSOCIATES OF LARAMIE, LLC
ANESTHESIA ASSOCIATES OF LARAMIE, LLC
ANNE BUNN PHD, LLC
Blair Investments
ADDRESS1
745 BUENA VISTA DR
LANDER MEDICAL CLINIC, PC
745 BUENA VISTA DR
745 BUENA VISTA DR
745 BUENA VISTA DR
LANDER MEDICAL CLINIC PC
745 BUENA VISTA DR
LANDER VALLEY CHIROPRACTIC INC
745 BUENA VISTA DR
LANDER REGIONAL HOSPITAL
LANDER REGIONAL HOSPITAL
1320 BISHOP RANDALL DR
LANDER REGIONAL HOSPITAL
LANDER REGIONAL HOSPITAL
LANDER REGIONAL HOSPITAL
LANDER VALLEY MEDICAL CENTER
LANDER VALLEY MEDICAL CENTER
LOWHAM SURGERY & ENDOSCOPY
LANDER VALLEY MEDICAL CENTER
LOWHAM SURGERY & ENDOSCOPY
295 GARFIELD ST
815 E MAIN ST
105 WYOMING ST
POPO AGIE WOMENS CLINIC
POPO AGIE WOMENS CLINIC
1150 MAIN ST
ROCKY MOUNTAIN RETINA CONSULTANTS
1150 MAIN ST
1150 MAIN ST
LANDER REGIONAL HOSPITAL
STEPHEN A HICKNER MD LLC
TETON THERAPY PC
TETON THERAPY PC
TETON THERAPY PC
TETON THERAPY PC
125 WYOMING ST
LANDER REGIONAL HOSPITAL
269 GARFIELD ST
LANDER MEDICAL CLINIC PC
LANDER MEDICAL CLINIC PC
LANDER MEDICAL CLINIC PC
ADVANCED FOOT CARE PC
ADVANCED FOOT CARE PC
255 N 30TH ST
3112 E GRAND AVE
4005 E GRAND AVE
750 N 3RD ST
1520 SPRING CREEK DR
554 N 3RD ST
1000 E UNIVERSITY AVE #3068
4308 E GRAND AVE
807 S 3RD ST
807 S 3RD ST
255 NORTH 30TH ST
255 NORTH 30TH ST
3116 WILLET DR
255 NORTH 30TH ST
IVINSON MEMORIAL HOSPITAL
255 NORTH 30TH ST
255 NORTH 30TH ST
255 NORTH 30TH ST
255 NORTH 30TH ST
255 NORTH 30TH ST
255 NORTH 30TH ST
255 NORTH 30TH ST
255 NORTH 30TH ST
255 NORTH 30TH ST
255 NORTH 30TH ST
PO BOX 967
ALBANY EYE CARE
ALBANY EYE CARE
3116 WILLET DR.
121 E GRAND AVE STE 216
ALPINE EAR NOSE AND THROAT
204 MCCOLLUM DR STE 101
204 MCCOLLUM DR STE 101
204 MCCOLLUM DR STE 101
204 MCCOLLUM DR STE 101
204 MCCOLLUM DR STE 101
507 S 4TH ST STE B
HIGH COUNTRY PHYSICAL THERAPY
ADDRESS2
745 BUENA VISTA DR
745 BUENA VISTA DR.
160 S 4TH ST
1320 BISHOP RANDALL DR
1320 BISHOP RANDALL DR
1320 BISHOP RANDALL DR
1320 BISHOP RANDALL DR
1320 BISHOP RANDALL DR
1320 BISHOP RANDALL DR
1320 BISHOP RANDALL DR
195 CAPITOL
1320 BISHOP RANDALL DR
195 CAPITOL
1460 MAIN ST STE B
1460 MAIN ST STE B
1150 MAIN ST
1320 BISHOP RANDALL DR
8160 HWY 789
425 LINCOLN ST
425 LINCOLN ST
425 LINCOLN ST
425 LINCOLN ST
1320 BISHOP RANDALL DR
745 BUENA VISTA DR
745 BUENA VISTA DR
745 BUENA VISTA DR
1303 E GRAND AVE
1303 E GRAND AVE
255 N. 30TH ST.
418 S 5TH ST
418 S 5TH ST
3116 WILLETT
3125 E GRAND AVE #A
CITY
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LANDER
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82520
82520
82520
82520
82520
825203431
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82520
82070
82070
82072
82070
82070
82070
82070
82070
82070
82070
82070
82070
82072
82072
82070
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82073
82070
82070
82072
82070
82070
82070
82070
82070
82070
82070
82070
820725137
SPEC
IM
IM
FP
IM
OG
PSNE
OG
CH
FP
IMHP
IMHP
HSP
IMHP
EM
IMHP
PGAP
SU
SU
SU
SU
RADR
OR
FP
OG
OG
OP
OP
OP
OP
OG
OG
OT
PT
OT
PT
FP
SU
AU
IMCI
IMCI
IMCI
PO
PO
RADR
PHY
PHY
PHY
PHY
PHY
PHY
PHY
CH
CH
AN
FP
IM
IM
NP
SU
CUMH
IM
CUMH
IM
CUMH
PSPS
AN
AN
CUMH
FP
OD
OD
AI
CUMH
OL
AN
AN
AN
AN
AN
PY
PT
SPECIALTY_DESCR
Internal Medicine
Internal Medicine
Family Practice
Internal Medicine
Obstetrics & Gynecology
Psychiatry & Neurology - Neurology
Obstetrics & Gynecology
Chiropractor
Family Practice
Hospitalist
Hospitalist
HOSPITAL
Hospitalist
Emergency Medicine
Hospitalist
Pathology - Anatomic Pathology
Surgery
Surgery
Surgery
Surgery
Radiology - Diagnostic Radiology
Orthopaedic Surgery
Family Practice
Obstetrics & Gynecology
Obstetrics & Gynecology
Ophthalmology
Ophthalmology
Ophthalmology
Ophthalmology
Obstetrics & Gynecology
Obstetrics & Gynecology
Occupational Therapist
Physical Therapist
Occupational Therapist
Physical Therapist
Family Practice
Surgery
Audiologist
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Podiatrist
Podiatrist
Radiology - Diagnostic Radiology
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Chiropractor
Chiropractor
Anesthesiology
Family Practice
Internal Medicine
Internal Medicine
Nurse Practitioner
Surgery
Counselor - Mental Health
Internal Medicine
Counselor - Mental Health
Internal Medicine
Counselor - Mental Health
Psychiatry & Neurology - Psychiatry
Anesthesiology
Anesthesiology
Counselor - Mental Health
Family Practice
Optometrist
Optometrist
Allergy & Immunology
Counselor - Mental Health
Otolaryngology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Psychologist
Physical Therapist
Page 28 of 57
LAST_NAME
SWECZAK CLAUDE
BEAN
BENDER
CALDERA-NIEVES
GICHERU
GORDON
GORDON
KRMAER
MITTAL
MORROW
PEDERSON
SURDAM
LAMMAN
IAMS
LAHIFF
CARROLL
SWALLA
WELLS
DOING
DOWNES
FRIEDMAN
GREEN
JOHNSON
KISER
LUCKASEN
MEREDITH
MILLER
MYERS
OLDEMEYER
PETERS
PURVIS
STOLTZ
WHITSITT
PEARSON
CARRON
SMITH
ELITE MEDICAL SUPPLIES LLC
DELUCA
DEYOUNG
PEARSON
KING
LEINEN
BARTEL
GEMPIS
HAEBERLE
HAEBERLE
MIKESELL
PREMIER BONE AND JOINT SURGERY CENTER
PREMIER BONE AND JOINT SURGICAL CENTER
PEDRICK
DORST
DEACON
HERKSTROETER
DUNCAN
ALLAIS
CARLSON
EL-TARABILY
HALSEY
IVINSON MEMORIAL HOSPITAL
LEHMITZ
MIKULINSKY
PRICE
ROMSA
ULLRICH
WUERSLIN
YOUNG
EGOLF
ANDERSON
BRAGG
CLOYD
COATES
HANNIFAN
HIGGINS
HOFFMAN
HORST
JOHNSON
KALAN
KLINGLER
SMITH
VASEK
WUERSLIN
08/22/2013
FIRST_NAME
GRETCHEN
LAWRENCE
MARY
JAVIER
EUGENE
COURTNEY
COURTNEY
ANNIKA
SHILPI
RACHEL
JAMES
DANIEL
ANNE
HELEN
JOSHUA
MARTIN
ASHLEY
MARK
ANTHONY
THOMAS
SHERI
CHARLES PATRICK
CHARLES
ROBERT
GARY
LAWRENCE
WILLIAM
GERALD
JOHN
BRENT
MATTHEW
CHAD
TODD
GARY
REBECCA
BRUCE
STEVEN
CHRISTOPHER
GARY
WENDY
CARLA
JENNIFER
MARIE
JOHN
YVETTE
DARREN
TITLE
APRN
PA
PA
PAC
MD
DO
REED
HOLLY
MEREK
LUANN
JULIA
JEAN
JULIE
MOHAMED
NANCY
PAUL
ASYA
JAMES
BETH
JOHN
ELIZABETH
GEORGIA
JAMIE
DEBRA
JOHN
DAVID
HELEN
KATHLEEN
JOEL
MARK
BRIAN
AMANDA
JASON
TRAVIS
ELIZABETH
PAULA
ELIZABETH
PHONE
3077423110
3077211794
3077211794
2144993440
(866) 963 1854
(866) 963 1854
(866) 963 1854
3077211794
3077211794
2144993440
3076337619
(307) 742 0900
(307) 638 6610
(307) 638 6610
(307) 638 6610
(307) 638 6610
3077429411
3077429411
3077429411
3077429411
3077429411
3077458999
3077429411
3077429411
3077429411
3077429411
3077429411
3077429411
3077429411
3077429411
3077429411
3077453169
3077423380
3077453704
(307) 742 2445
(307) 745 0085
(307) 745 0085
(307) 742 3242
(307) 742 3242
(307) 742 3242
(307) 742 3242
(307) 742 3242
(307) 745 9851
(307) 745 9851
3077423110
3077550929
3077455434
3077455434
3077453169
(307) 742 6319
(307) 742 9080
(307) 742 9080
(307) 742 2141
(307) 742 2142
MD
MD
MD
MD
MD
NP
MD
(307) 460 2055
(307) 742 2141
(307) 742 2142
3077459662
(307) 721 3118
(307) 745 8991
(307) 721 3118
(307) 745 8991
(307) 721 3118
(307) 745 8991
(307) 721 3118
(307) 721 3118
(307) 745 8991
(307) 745 8991
(307) 721 3118
(307) 721 3118
(307) 721 3118
(307) 745 8991
CLINIC NAME
Blair Investments
CARE UNITED/URGENT CARE OF LARAMIE
CARE UNITED/URGENT CARE OF LARAMIE
CARE UNITED/URGENT CARE OF LARAMIE
CARE UNITED/URGENT CARE OF LARAMIE
CARE UNITED/URGENT CARE OF LARAMIE
CARE UNITED/URGENT CARE OF LARAMIE
CARE UNITED/URGENT CARE OF LARAMIE
CARE UNITED/URGENT CARE OF LARAMIE
CARE UNITED/URGENT CARE OF LARAMIE
CARE UNITED/URGENT CARE OF LARAMIE
CARE UNITED/URGENT CARE OF LARAMIE
CHEYENNE REGIONAL MEDICAL CENTER- PHYS
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
CHEYENNE VISION CLINIC
CHEYENNE VISION CLINIC, PC
CHEYENNE VISION CLINIC, PC
CHEYENNE VISION CLINIC, PC
COLORADO HEALTH MEDICAL GROUP
COLORADO HEALTH MEDICAL GROUP
COLORADO HEALTH MEDICAL GROUP
COLORADO HEALTH MEDICAL GROUP
COLORADO HEALTH MEDICAL GROUP
COLORADO HEALTH MEDICAL GROUP
COLORADO HEALTH MEDICAL GROUP
COLORADO HEALTH MEDICAL GROUP
COLORADO HEALTH MEDICAL GROUP
COLORADO HEALTH MEDICAL GROUP
COLORADO HEALTH MEDICAL GROUP
COLORADO HEALTH MEDICAL GROUP
COLORADO HEALTH MEDICAL GROUP
COLORADO HEALTH MEDICAL GROUP
COLORADO HEALTH MEDICAL GROUP
COMMUNITY HOSPITAL - TORRINGTON
DERMATOLOGY & LASER CENTER OF FT COLLINS
EAR NOSE THROAT ASSOC OF N. CO
ELITE MEDICAL SUPPLIES LLC
EMERGENCY PHYSICIANS OF LARAMIE
EMERGENCY PHYSICIANS OF LARAMIE
EMERGENCY PHYSICIANS OF LARAMIE
FAMILY CARE CLINIC, LLC
FAMILY CARE CLINIC, LLC
FAMILY PHYSICIANS OF LARAMIE, LLC
FAMILY PHYSICIANS OF LARAMIE, LLC
FAMILY PHYSICIANS OF LARAMIE, LLC
FAMILY PHYSICIANS OF LARAMIE, LLC
FAMILY PHYSICIANS OF LARAMIE, LLC
GEM CITY SURGICAL CENTER
GEM CITY SURGICAL CENTER
HIGH COUNTRY PHYSICAL THERAPY
HOLLY DORST, INC
HOMESTEAD PHYSICAL THERAPY, PC
HOMESTEAD PHYSICAL THERAPY, PC
INTRAWEST MEDICAL SERVICES
IVINSON MEMORIAL HOSPITAL
IVINSON MEMORIAL HOSPITAL
IVINSON MEMORIAL HOSPITAL
IVINSON MEMORIAL HOSPITAL
IVINSON MEMORIAL HOSPITAL
IVINSON MEMORIAL HOSPITAL
IVINSON MEMORIAL HOSPITAL
IVINSON MEMORIAL HOSPITAL
IVINSON MEMORIAL HOSPITAL
IVINSON MEMORIAL HOSPITAL
IVINSON MEMORIAL HOSPITAL
IVINSON MEMORIAL HOSPITAL
JAMIE EGOLF PSYCOTHERAPY
LARAMIE PHYSICIANS FOR WOMEN & CHILDREN
LARAMIE PHYSICIANS FOR WOMEN & CHILDREN
LARAMIE PHYSICIANS FOR WOMEN & CHILDREN
LARAMIE PHYSICIANS FOR WOMEN & CHILDREN
LARAMIE PHYSICIANS FOR WOMEN & CHILDREN
LARAMIE PHYSICIANS FOR WOMEN & CHILDREN
LARAMIE PHYSICIANS FOR WOMEN & CHILDREN
LARAMIE PHYSICIANS FOR WOMEN & CHILDREN
LARAMIE PHYSICIANS FOR WOMEN & CHILDREN
LARAMIE PHYSICIANS FOR WOMEN & CHILDREN
LARAMIE PHYSICIANS FOR WOMEN & CHILDREN
LARAMIE PHYSICIANS FOR WOMEN & CHILDREN
LARAMIE PHYSICIANS FOR WOMEN & CHILDREN
LARAMIE PHYSICIANS FOR WOMEN & CHILDREN
ADDRESS1
HIGH COUNTRY PHYSICAL THERAPY
3810 GRAND AVE
CARE UNITED MEDICAL CENTER
3810 E GRAND AVE
3810 GRAND AVE
CARE UNITED/URGENT CARE OF LARAMIE
CARE UNITED/URGENT CARE OF LARAMIE
CARE UNITED/URGENT CARE OF LARAMIE
3801 GRAND AVE
3810 E GRAND AVE
3810 GRAND AVENUE
3801 GRAND AVE
3116 WILLETT DR STE 6
406 S 2ND ST
LARAMIE VISION CLINIC
LARAMIE VISION CLINIC
LARAMIE VISION CLINIC
LARAMIE VISION CLINIC
HEART CENTER OF THE ROCKIES
HEART CENTER OF THE ROCKIES
NEUROLOGY ASSOCIATES OF NORTHERN COLORADO
HEART CENTER OF THE ROCKIES
HEART CENTER OF THE ROCKIES
INTERMOUNTAIN INTERNAL MEDICINE
HEART CENTER OF THE ROCKIES
NEUROLOGY ASSOCIATES OF NORTHERN COLORADO
HEART CENTER OF THE ROCKIES
HEART CENTER OF THE ROCKIES
HEART CENTER OF THE ROCKIES
PVMG PULMONOLOGY
HEART CENTER OF THE ROCKIES
HEART CENTER OF THE ROCKIES
HEART CENTER OF THE ROCKIES
PO BOX 967
DERMATOLOGY & LASER CENTER
LARAMIE PEDIATRICS AND INTERNAL MEDICINE
214 IVINSON
3908 GRAND AVE ST 201
3908 GRAND AVE ST 201
PO BOX 967
504 E LYON ST
504 E LYON ST
2710 HARNEY ST STE 202
2710 HARNEY ST STE 202
2710 HARNEY ST STE 202
2710 HARNEY ST STE 202
2710 HARNEY ST STE 202
1909 VISTA DR
1909 VISTA DR
HIGH COUNTRY PHYSICAL THERAPY
1050 N 3RD ST STE B2
1575 N 4TH ST STE101
1575 N 4TH ST STE 101
EMERGENCY PHYSICIANS OF LARAMIE
IVINSON MEMORIAL HOSPITAL
920 E SHERIDAN ST STE B
255 N 30TH ST
920 E SHERIDAN ST STE B
255 N 30TH ST
355 N 30TH ST
255 N 30TH ST
255 N 30TH ST
255 N 30TH ST
2710 HARNEY ST STE 204
IVINSON MEMORIAL HOSPITAL
255 N 30TH ST
157 N 6TH ST
2710 HARNEY ST STE 100
2710 HARNEY ST STE 100
LARAMIE PHYSICIANS FOR WOMEN & CHILDREN
2710 E HARNEY ST STE 100
2710 E HARNEY ST STE 100
2710 E HARNEY ST STE 100
LARAMIE PHYSICIANS FOR WOMEN & CHILDREN
2710 HARNEY ST STE 100
2710 HARNEY STE 100
LARAMIE PHYSICIANS FOR WOMEN AND CHILDREN
2710 HARNEY ST STE 100
LARAMIE PHYSICIANS FOR WOMEN & CHILDREN
2710 HARNEY ST STE 100
2710 HARNEY STE 100
ADDRESS2
3125 E GRAND STE A
3810 GRAND AVE
3810 GRAND AVENUE
3810 GRAND AVE
3810 GRAND AVE
408 S. 2ND STREET
408 S. 2ND STREET
408 S. 2ND STREET
408 S. 2ND STREET
3116 WILLET DR
3116 WILLET DR
3116 WILLETT DR STE 5B
3116 WILLET DR
3116 WILLET DR
3116 WILLETT DR
3116 WILLET DR
3116 WILLETT DR STE 5B
3116 WILLET DR
3116 WILLET DR
3116 WILLET DR
3116 WILLET DR
3116 WILLET DR
3116 WILLET DR
3116 WILLET DR
3116 WILLETT DR
1252 N 22ND
3125 E GRAND STE A
255 N 30TH ST
255 N 30TH ST
ACCOUNTING DEPARTMENT
ACCOUNTING DEPARTMENT
ACCOUNTING DEPARTMENT
ACCOUNTING DEPARTMENT
255 N. 30TH ST.
2710 HARNEY STE 100
2710 HARNEY STE 100
2710 HARNEY SUITE 100
2710 HARNEY STE 100
CITY
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82070
82070
820705179
82070
82070
82070
82070
820705179
82070
82070
82072
82070
82072
82070
82070
82070
82070
82070
82070
82070
82072
82070
82070
82072
82070
82072
82070
82070
82070
82070
82070
82070
82070
82073
82072
82072
82070
820705174
820705174
82073
82072
82072
82072
82072
82072
82072
82072
82070
82070
82070
82072
82070
82072
82070
82072
82070
820725195
82070
82072
82072
820725195
820725195
820725195
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
820722884
82072
82072
82072
82072
SPEC
PT
EM
NPFA
EM
EM
PAC
PAC
PAC
FP
PAC
PAC
EM
DIR
FP
OPT
OPT
OPT
OPT
IMCV
IMCV
PSNE
IMCV
IMCV
IMCV
IMCV
PSNE
IMCV
IMCV
IMCV
IMPU
IMCV
IMCV
IMCV
EM
DM
OL
DME
PD
NP
FP
NP
NP
NPFA
FP
FP
FP
FP
ASC
CCSU
PT
CUMH
PT
PT
EM
IM
IM
IMON
NP
HSP
IM
AN
AN
NP
SU
PD
AN
CUMH
PD
OG
OG
OG
PD
OG
OG
PD
OG
PD
OG
PD
NP
PD
SPECIALTY_DESCR
Physical Therapist
Emergency Medicine
Nurse Practitioner - Family
Emergency Medicine
Emergency Medicine
Physician Assistant
Physician Assistant
Physician Assistant
Family Practice
Physician Assistant
Physician Assistant
Emergency Medicine
Dietitian, Registered
Family Practice
Internal Medicine - Cardiovascular Disease
Internal Medicine - Cardiovascular Disease
Psychiatry & Neurology - Neurology
Internal Medicine - Cardiovascular Disease
Internal Medicine - Cardiovascular Disease
Internal Medicine - Cardiovascular Disease
Internal Medicine - Cardiovascular Disease
Psychiatry & Neurology - Neurology
Internal Medicine - Cardiovascular Disease
Internal Medicine - Cardiovascular Disease
Internal Medicine - Cardiovascular Disease
Internal Medicine - Pulmonary Disease
Internal Medicine - Cardiovascular Disease
Internal Medicine - Cardiovascular Disease
Internal Medicine - Cardiovascular Disease
Emergency Medicine
Dermatology
Otolaryngology
Pediatrics
Nurse Practitioner
Family Practice
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner - Family
Family Practice
Family Practice
Family Practice
Family Practice
AMBULATORY SURGERY CENTER
Clinic/Center - Ambulatory Surgical
Physical Therapist
Counselor - Mental Health
Physical Therapist
Physical Therapist
Emergency Medicine
Internal Medicine
Internal Medicine
Internal Medicine - Medical Oncology
Nurse Practitioner
HOSPITAL
Internal Medicine
Anesthesiology
Anesthesiology
Nurse Practitioner
Surgery
Pediatrics
Anesthesiology
Counselor - Mental Health
Pediatrics
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Pediatrics
Obstetrics & Gynecology
Obstetrics & Gynecology
Pediatrics
Obstetrics & Gynecology
Pediatrics
Obstetrics & Gynecology
Pediatrics
Nurse Practitioner
Pediatrics
Page 29 of 57
LAST_NAME
CALDWELL
LUND
JONES
ALBERS
HOWELL
HOMER
HENRY
KEATING
KLEPPINGER
MCLANAHAN
MOSSMAN
NEWELL
SEAMON
CUPPS
SCHILLING
MORENO
WORDEN
ADAMS
DERINGER
FORTNER
NEFF
USKEN
AXTMANN
BECKER
BENSON
BILLS
BRESS
DUNCAN
GERHARTER
GERHARTER
GLASSNER
HAMMER
HARNDEN
HOGSETT
LLOYD
MANTON
MCGEE
MORAN
MORRIS
PAGE
PETRINO
PROCTOR
TEINI
ZIMMERMAN
ADAMS
BECKER
CUNNINGHAM
DEAN
EMMETT
ENGEN
GOSSMAN
HANSEN
LEE
LINK
MARTIN
MCGAFFIN
MEEKER
PETTIS
SALTENBERGER
SANDOVAL
SCHAAF
SPRABERY
STEWARD
STEWART
STRINGHAM
ARON
AUGUSTINE
BERRY
BERTILSON
DEVINE
FAY
GILL
HANSEN
JOHNSON
KELLY
KOEGEN
NASH
ROGERS
ROMSA
SPRINKLE
SURDAM
08/22/2013
FIRST_NAME
PENELOPE
TERESE
JEREMY
JESSICA
GARRETT
LAURIE
JESSE
FRAN
KENT
ANDREW
MELINDA
MARCIA
ROBERT
MARK
MARTHA
MARY
MICHELLE
RYAN
MICHAEL
CORWYN
WILLIAM
GARY
ELLEN
CAROL
BROOKE
JODI
CAROL
JULIA
MITCH
TONYA
KIMBERLEE
GLENN
CHRISTOPHER
SHERRI
LARA
KRISTA
NANCY
AMY
TANYA
JAMES
KELLY
J'LAINE
STEPHANNIE
CYNTHIA
STEPHEN
CAROL
CLAYTON
ALISA
COLLEENA
GARY
LARRY
JENNIFER
TRISTIN
SHARON
KATRINA
EMILY
LINDA
ERNEST
JANA
REBECCA
JOSEPH
CAROL
SHARON
SHARON
LESLIE
ELBERTA
SUSAN
ANDREA
SUSAN
GARY
JEFF
DENISE
GLENNA
LINDA
CATHERINE
CARLA
KATHRYN
JAIME
BETH
R. LEO
JOYCE
TITLE
OD
OD
MD
MS
FNP
LCSW
LCSW
PHONE
3077455364
(307) 745 5364
3077420232
(307) 638 6610
(307) 638 6610
3074601687
(307) 460 2303
(307) 745 3704
(307) 745 3704
(307) 460 2309
(307) 460 2305
(307) 745 3704
(307) 745 3536
3077424332
3077458586
(307) 721 0700
3077429390
(970) 484 0722
3077422141
3077422141
3077422141
3077422141
3077210700
3077210700
3077210700
(307) 721 0700
3077210700
3077210700
3077210700
3077210700
3077210700
3077210700
3077210700
3077210700
(307) 721 0700
3077210700
(307) 721 0700
3077210700
3077210700
(307) 721 0700
3077210700
(307) 721 0700
3077210700
3077210700
3077458915
(307) 745 8915
3077458915
3077458915
(307) 745 8915
(307) 634 9653
(307) 745 8915
(307) 745 8915
(307) 745 8915
(307) 745 8915
(307) 745 8915
(307) 745 8915
(307) 745 8915
(307) 745 8915
(307) 745 8915
3076349653
(307) 745 8915
(307) 745 8915
3077458915
(307) 745 8915
(307) 745 8915
3077426222
3077426222
3077426222
3077426222
3077426222
3077426222
3077426222
3077426222
3077426222
3077426222
(307) 742 6222
3077426222
(307) 742 6222
3077426222
3077215125
3077426222
CLINIC NAME
LARAMIE REPRODUCTIVE HEALTH
LARAMIE REPRODUCTIVE HEALTH
LARAMIE SPINAL CARE CENTER
LARAMIE VISION CLINIC, PC
LARAMIE VISION CLINIC, PC
LAURIE R HOMER LPC, LLC
LPIM PC & URGENT CARE
LPIM PC & URGENT CARE
LPIM PC & URGENT CARE
LPIM PC & URGENT CARE
LPIM PC & URGENT CARE
LPIM PC & URGENT CARE
LPIM PC & URGENT CARE
MARK CUPPS CHIROPRACTIC
MARTHA E. SCHILLING PH.D.
MARY D. MORENO MD
MICHELLE A WORDEN
NCAP, LLP
NCAP, LLP
NCAP, LLP
NCAP, LLP
NCAP, LLP
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PATHWAYS, INC
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PENDLEY AND ASSOCIATES, INC.
PENDLEY AND ASSOCIATES, INC.
PENDLEY AND ASSOCIATES, INC.
PENDLEY AND ASSOCIATES, INC.
PENDLEY AND ASSOCIATES, INC.
PENDLEY AND ASSOCIATES, INC.
PENDLEY AND ASSOCIATES, INC.
PENDLEY AND ASSOCIATES, INC.
PENDLEY AND ASSOCIATES, INC.
PENDLEY AND ASSOCIATES, INC.
PENDLEY AND ASSOCIATES, INC.
PENDLEY AND ASSOCIATES, INC.
PENDLEY AND ASSOCIATES, INC.
PENDLEY AND ASSOCIATES, INC.
PENDLEY AND ASSOCIATES, INC.
PENDLEY AND ASSOCIATES, INC.
ADDRESS1
413 S 21ST ST
413 S 21ST ST
2130 E GRAND AVE
LARAMIE VISION CLINIC
LARAMIE VISION CLINIC
1050 N 3RD ST STE B-1
1252 N 22ND ST STE A
1252 N 22ND AVE
1252 N 22ND
1252 N 22ND ST
1252 N 22ND ST STE A
1252 N 22ND ST
1174 N 22ND ST
212 E IVINSON
401 GARFIELD ST
1465 N 4TH ST STE 119
504 S 4TH ST
IVINSON MEMORIAL HOSPITAL/OUT
IVINSON MEMORIAL HOSPITAL
IVINSON MEMORIAL HOSPITAL
IVINSON MEMORIAL HOSPITAL
IVINSON MEMORIAL HOSPITAL
PATHWAYS INC
PATHWAYS INC
PATHWAYS INC
PATHWAYS INC
PATHWAYS INC
PATHWAYS INC
PATHWAYS INC
PATHWAYS INC
PATHWAYS INC
PATHWAYS INC
PATHWAYS INC
1465 N 4TH ST STE 119
1465 N 4TH ST STE 119
1465 N 4TH ST STE 119
1465 N 4TH ST STE 119
PATHWAYS INC
PATHWAYS INC
1465 N 4TH ST STE 119
PATHWAYS INC
1465 N 4TH ST STE 119
PATHWAYS INC
PATHWAYS INC
1263 N 15TH ST
1263 N 15TH ST
1263 N 15TH ST
1263 N 15TH ST
1263 N 15TH ST
1263 N 15TH ST
1277 N 15TH ST
1263 N 15TH ST
1263 N 15TH ST
1263 N 15TH ST
1263 N 15TH ST
1263 N 15TH ST
1263 N 15TH ST
1714 W HILL RD
1263 NORTH 15TH ST
1263 NORTH 15TH ST
1263 N 15TH ST
1263 N 15TH ST
1263 N 15TH ST
1263 N 15TH ST
1263 N 15TH ST
1277 N 15TH ST
1277 N 15TH ST
1817 N 15TH ST
1277 N 15TH ST
1277 N 15TH ST
1277 N 15TH ST
1277 N 15TH ST
1277 N 15TH ST
1277 N 15TH ST
1277 N 15TH ST
PENDLEY ASSOCIATES INC
1277 NORTH 15TH ST
PENDLEY AND ASSOCIATES, INC.
PENDLEY & ASSOCIATES INC
1277 N 15TH ST
1277 N 15TH ST
ADDRESS2
408 S 2ND ST
408 S. 2ND ST.
255 N 30TH ST
255 N 30TH ST
255 N 30TH ST
255 N 30TH ST
255 N 30TH ST
1465 N 4TH ST #119
1465 N 4TH ST #119
1465 N 4TH ST #119
1465 N 4TH ST #119
1465 N 4TH ST #119
1465 N 4TH ST #119
1465 N 4TH ST #119
1465 N 4TH ST #119
1465 N 4TH ST #119
1465 N 4TH ST #119
1465 N 4TH ST #119
1465 N 4TH ST #119
1465 N 4TH ST #119
1465 N 4TH ST #119
1465 N 4TH ST #119
1465 N 4TH ST #119
1277 N 15TH ST.
1277 N. 15TH ST.
1277 N 15TH ST
CITY
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82070
82070
82070
82070
82070
82072
82070
82070
82072
82072
82070
82072
82072
82070
82070
82072
82070
820725140
82070
82070
82070
82070
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82070
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82072
82070
82072
82072
82072
82072
82070
82072
82072
82072
82072
82072
82072
82072
82072
82072
SPEC
MWN
NPFA
CH
OD
OD
CUMH
NP
NP
PD
IM
NP
NP
IM
CH
CUMH
PSPS
CUMH
AN
AN
AN
AN
AN
CUMH
SPECIALTY_DESCR
Midwife, Certified Nurse
Nurse Practitioner - Family
Chiropractor
Optometrist
Optometrist
Counselor - Mental Health
Nurse Practitioner
Nurse Practitioner
Pediatrics
Internal Medicine
Nurse Practitioner
Nurse Practitioner
Internal Medicine
Chiropractor
Counselor - Mental Health
Psychiatry & Neurology - Psychiatry
Counselor - Mental Health
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Counselor - Mental Health
CUMH
CUMH
CUMH
NP
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
NP
CUMH
RN
CUMH
PY
PSPS
PY
NPPS
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
PY
CUMH
CUMH
CUMH
PSPS
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
PY
CUMH
CUMH
CUMH
CUMH
CU
CUMH
SWC
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Nurse Practitioner
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Nurse Practitioner
Counselor - Mental Health
Registered Nurse
Counselor - Mental Health
Psychologist
Psychiatry & Neurology - Psychiatry
Psychologist
Nurse Practitioner - Psych/Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychologist
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychiatry & Neurology - Psychiatry
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychologist
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor
Counselor - Mental Health
Social Worker - Clinical
PY
PY
Psychologist
Psychologist
Page 30 of 57
LAST_NAME
TUTHILL
VASQUEZ
AUKERMAN
BACON
BIENZ
BLACK-FARBER
BODEMER
BOLTZ
BOLTZ
BROWNING
BRUMBAUGH
CARSON
CURNOW
DUNLAY
EDWARDS
ENNIST
FORD
FRANC
GRAF
HELLEVANG
JENKINS
KAISER
KAPLAN
KIEFFER
LARAMIE MRI
LEVENE
MARTINEZ
MARTINEZ DEL RIO
MCKENNA
OLONA
PREMIER BONE & JOINT - MRI
RYZEWICZ
SCHEER
SCIFRES
SOUTHWELL
TRENAM
WASSER
QUALITY IV CARE
TOBIN
WATT
MILAM
MILAM
SUMMIT HOME HEALTH CARE
SUMMIT HOME HEALTH CARE
JACOBS-CASTANO
NESSLINGER
NACHTIGAL
PIERCE
PIERCE
FLOCK
CLAUDE
ELIASON
ELIASON
ELIASON
HOLLAND
HOLLAND
MARTINCHICK
MARTINCHICK
LOVELL DRUG COMPANY
ROPER
BILES
BAKER
IRVINE
KISTER
LEMAGIE-DRAKE
LOUIS
RIKER
BEACHLER
FRASER
BYORTH
KLEE
KLEMAN
LUCE
LUND
ROBINSON
SCHULTZ
THOMETZ
WENTZELL
HOFFMAN
MITCHELL
CALDWELL
08/22/2013
FIRST_NAME
LISA
CAITLIN
RYAN
TRACY
THOMAS
JERI
WILLIAM
BIRDIE
ROBERTA
DANNY
DAVID
JAY
ROBERT
SHARON
JOHN
SEAN
LEE
LORI
JESSICA
SARAH
LAWRENCE
STEPHEN
MICHAEL
DAVID
TITLE
LPC
DANIEL
MARTHA
MARTHA
MARK
PHIL
MARK
BRYAN
JIM
RICHARD
MICHAEL
MICHAEL
ROBERT
MARK
DAVID
DYLAN
MD
TERESA
MARTHA
TOM
H
HAROLD
WILLIAM
JONATHAN
NATHAN
NATHAN
NATHAN
MICHAEL
MICHAEL
JAMES
JAMES
BRAD
JIMMIE
DORTHY
DARWIN
DORTHY
COLLEEN
RALPH
MARLYNN
LAEL
D HUGH
PAUL
LAWRENCE
GAIL
MELINDA
JARED
WHITNEY
ROBERT
ALAN
JOSEPH
DAVID
OLIVER
TROY
PHONE
(307) 742 6222
3077426222
(307) 745 8851
3077458851
3077458851
3077458851
3077458851
3077458851
3077218024
3077458851
3077458851
3077458851
3077458851
3077458851
3077458851
3077458851
3077458851
3077458851
3077458851
3077458851
(307) 745 8851
3077458851
3077458851
3077458851
3077420961
3077458851
3077458851
3077218024
8004465684
3077458851
(800) 446 5684
8004465684
8004465684
3077458851
3077458851
3077458851
3077458851
(307) 742 5048
(307) 235 5433
3077455414
(307) 742 2082
(307) 742 2082
(307) 721 2827
3077212827
3077731300
3077458442
(307) 745 3097
(307) 745 3097
3077458988
MD
3077609818
3077459422
3077609818
3077609818
3077609818
3077609818
3077459422
3075487231
(307) 568 2020
3075277834
3075682020
3075486543
3075486543
3075486543
3075682020
3075486543
8889509191
3075485201
3075485201
3075482771
8003251774
8003251774
3075485201
8003251774
8003251774
8003251774
8003251774
(307) 548 9123
3075487020
(307) 548 5200
CLINIC NAME
PENDLEY AND ASSOCIATES, INC.
PENDLEY AND ASSOCIATES, INC.
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
PREMIER BONE & JOINT
QUALITY IV CARE
ROCKY MOUNTAIN ONCOLOGY CENTER, LLC
SNOWY RANGE CONSULTING, LLC
SPINE & INJURY CLINIC
SPINE & INJURY CLINIC
SUMMIT HOME HEALTH CARE
SUMMIT HOME HEALTH CARE
THE CLINIC FOR MENTAL HEALTH & WELLNESS
THE CLINIC FOR MENTAL HEALTH & WELLNESS
TOM NACHTIGAL M.D. FACS PC
UROLOGY CLINIC PC
UROLOGY CLINIC PC
WILLIAM D FLOCK
WIND CITY PHYSICAL THERAPY
WYOMING PATHOLOGY INC.
WYOMING PATHOLOGY INC.
WYOMING PATHOLOGY INC.
WYOMING PATHOLOGY INC.
WYOMING PATHOLOGY INC.
WYOMING PATHOLOGY INC.
WYOMING PATHOLOGY INC.
ADVANCEPCS
BIG HORN BASIN COUNSELING SERVICES
BIG HORN BASIN ORTHOPEDIC CLINIC, P.C.
BIG HORN COUNTY COUNSELING LOVELL
BIG HORN COUNTY COUNSELING LOVELL
BIG HORN COUNTY COUNSELING LOVELL
BIG HORN COUNTY COUNSELING LOVELL
BIG HORN COUNTY COUNSELING LOVELL
BIG HORN COUNTY COUNSELING LOVELL
BIG HORN FOOT CLINIC, P.C.
BIG HORN FOOT CLINIC, P.C.
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
HOFFMAN SNYDER TLC
LOVELL CHIROPRACTIC
NORTH BIG HORN HOSPITAL DISTRICT
ADDRESS1
PENDLEY AND ASSOCIATES, INC.
PENDLEY & ASSOCIATES INC
1909 VISTA DR
1909 VISTA DR
1909 VISTA
1909 VISTA DR
1909 VISTA DR
1909 VISTA
1909 VISTA DR
1909 VISTA
1909 VISTA DR
1909 VISTA
1909 VISTA DR
1909 VISTA DR
1909 VISTA DR
1909 VISTA
1909 VISTA DR
1909 VISTA
1909 VISTA DR
1909 VISTA
1909 VISTA DR
1909 VISTA
1909 VISTA DR
1909 VISTA DR
1909 VISTA DR
1909 VISTA DR
1909 VISTA DR
1909 VISTA DR
1909 VISTA DR
1909 VISTA DR
1909 VISTA DR
1909 VISTA DR
1909 VISTA DR
1909 VISTA
1909 VISTA DR
1909 VISTA
1909 VISTA DR
3131 E GRAND AVE STE B
IVINSON MEMORIAL HOSPITAL
526 REGENCY DR
409 S 4TH ST
409 S 4TH ST
204 MCCOLLUM ST STE 106
204 MCCOLLUM ST STE 106
504 S 4TH ST
504 S 4TH ST
3125 E GRAND AVE STE B
2710 HARNEY ST STE 200
2710 HARNEY STE 200
2606 GRAND AVE
3125 E GRAND AVE STE A
WYOMING PATHOLOGY INC
WYOMING PATHOLOGY INC
WYOMING PATHOLOGY INC
WYOMING PATHOLOGY INC
WYOMING PATHOLOGY INC
WYOMING PATHOLOGY INC
WYOMING PATHOLOGY INC
164 E MAIN
1114 LANE 12
BIG HORN BASIN ORTHOPAEDIC CLINIC
1114 LANE 12
1114 LANE 12
1114 LANE 12
1114 LANE 12
1114 LANE 12
1114 LANE 12
BIG HORN FOOT CLINIC PC
NORTH BIG HORN HOSPITAL CLINIC
NORTH BIG HORN HOSPITAL CLINIC
NORTH BIG HORN HOSPITAL DISTRICT
BILLINGS CLINIC
BILLINGS CLINIC
NORTH BIG HORN HOSPITAL CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
MAIN OFFICE
203 PARK AVE
1115 LANE 12
ADDRESS2
1277 N 15TH ST.
1277 N 15TH ST
255 N. 30TH ST.
1735 FOREST ST
2020 GRAND AVE STE 260
255 N 30TH ST
1735 FOREST ST
255 N 30TH ST
1735 FOREST ST
2020 GRAND AVE STE 260
1115 LN 12
1115 LANE 12
1115 LN 12
1115 LN 12
1115 LN 12
1115 LN 12
1115 LN 12
1115 LN 12
1115 LN 12
1115 LN 12
1115 LN 12
1115 LN 12
229 E MAIN ST
CITY
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LARAMIE
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82072
82072
82070
82070
82070
82070
82070
82070
82070
82070
82070
82070
82070
82070
82070
82070
82070
82070
820705530
82070
82070
82070
82070
82070
82070
82070
82070
82070
82070
82070
82070
820705530
82070
82070
82070
82070
82070
82070
82072
82070
82070
82070
82070
82070
82070
82070
82070
82072
82072
820705251
82070
82070
82070
82072
82070
82072
82070
82070
82431
82431
82431
82431
82431
82431
82431
82431
82431
82431
82431
82431
82431
82431
82431
82431
82431
82431
82431
82431
82431
82431
82431
SPEC
CU
PSPS
OR
PAC
OR
PT
OR
PT
PT
OR
PAC
OR
OR
RN
OR
RNFA
STOU
PT
PT
PT
OR
PT
OR
OR
RADR
OR
PT
PT
OR
PAC
CCRA
OR
OR
PT
OR
OR
OR
PHY
RAON
PY
CH
CH
HHA
HHA
CUMH
CUMH
SU
SUUR
SUUR
SUUR
PT
PGAP
PGAP
PGAP
PGAP
PGAP
PGAP
PGAP
PHY
CUMH
OR
CUMH
CUMH
CUMH
CUMH
PY
CUMH
PO
PO
OL
SUUR
DM
RE
DM
OR
OR
IMEP
DM
SU
CH
FP
SPECIALTY_DESCR
Counselor
Psychiatry & Neurology - Psychiatry
Orthopaedic Surgery
Physician Assistant
Orthopaedic Surgery
Physical Therapist
Orthopaedic Surgery
Physical Therapist
Physical Therapist
Orthopaedic Surgery
Physician Assistant
Orthopaedic Surgery
Orthopaedic Surgery
Registered Nurse
Orthopaedic Surgery
Registered Nurse - First Assistant
Specialist/Technologist, Other - Surgical
Physical Therapist
Physical Therapist
Physical Therapist
Orthopaedic Surgery
Physical Therapist
Orthopaedic Surgery
Orthopaedic Surgery
Radiology - Diagnostic Radiology
Orthopaedic Surgery
Physical Therapist
Physical Therapist
Orthopaedic Surgery
Physician Assistant
Clinic/Center - Radiology
Orthopaedic Surgery
Orthopaedic Surgery
Physical Therapist
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Pharmacy
Radiology - Radiation Oncology
Psychologist
Chiropractor
Chiropractor
HOME HEALTH AGENCY
Counselor - Mental Health
Counselor - Mental Health
Surgery
Urology
Urology
Urology
Physical Therapist
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pharmacy
Counselor - Mental Health
Orthopaedic Surgery
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychologist
Counselor - Mental Health
Podiatrist
Podiatrist
Otolaryngology
Urology
Dermatology
Physical Medicine & Rehabilitation
Dermatology
Orthopaedic Surgery
Orthopaedic Surgery
Internal Medicine - Clinical Cardiac Electrophysiology
Dermatology
Surgery
Chiropractor
Family Practice
Page 31 of 57
LAST_NAME
CARPENTER
FERBRACHE
FREUND
GILBERT
HOFFMAN
NORTH BIG HORN HOSPITAL/CLINIC
MCEVOY
ZUCKERMAN
FULLER
DAVE'S DRUG - LUSK
RAWHIDE DRUG COMPANY
COOK
HOLT
LARSON
MANGUS
MCWILLIAMS
NELSON
RICHARDS
METZ
PRINCE
PULL
BRACKETT
HOSKINS
NIOBRARA HEALTH & LIFE CENTER
THE DRUG STORE
NOE
POTTER
BARNES
FAUSETT
WORTHAM
ALBRITTON MCDONALD
BURNETT
DEMETRIOU
EVANS
GOSAR
KAPPENMAN
MUELLER
QUIRK
ROZIER
WALLACE
GEORGE
CUMMINGS
CUMMINGS
LUMNITZ
LUMNITZ
NOBACK
ROGERS
SCHWARTZ
SCHWARTZ
VOLL
VOLL
HALDER
KRAMER
DUNN
TREASURED MEMORIES HOSPICE
SHARONS HOME HEALTH
PAMIDA #291
ECKRICH
CARPENTER
FRANKLIN
FRANKLIN
FRANKLIN
JAGELSKI
JORDING
MASON
REIMER
REIMER
ELLIOTT
WATT
COTTRELL
ANDERSON
BAILEY
BELL
BOONE
ELLIOTT
PASTORE WATKINS
PHELON
RICE
SOLYST
TERRY
VAN NORMAN
08/22/2013
FIRST_NAME
JACK
KENNETH
MARY
DEREK
DAVID
TITLE
PAC
(307) 548 5200
(307) 548 5201
3075485201
3075485200
3075485201
3075482771
3075489338
3073343601
3073343132
8883589464
8883589464
8883589464
8883589464
8883589464
8883589464
8883589464
JAMES
JEFFREY
ROSS
EMILY
SETH
AMANDA
CHARLES
JESSICA
KELSEY
BONNIE
EDWARD
MARK
JOEL
DEBORAH
THOMAS
GARY
TRACY
AMANDA
AARON
ROSS
CAROLYN
WILLIAM
JAMES
SHANNON
GRACE
DAVID
JULIE
JAMES
LESLIE
STEPHEN
S DOUGLAS
ROBERT
ROBERT
JANICE
JANICE
KEITH
ERIN
TERRENCE
TERRENCE
PATRICIA
PATRICIA
ELIZABETH
VERONICA
GARRY
STEPHEN
MIKE
DUANE
D CHUCK
D CHUCK
AARON
MIKE
JAN
LANNY
LANNY
TRAVIS
TIM
CARL
JUDEE
CHERYL
ANDI
DON
SHERI
CAROL
HOPE
LINDA
JERRY
THOMAS
RITA
PHONE
(307) 548 5201
DO
3073344000
(800) 845 6592
(307) 334 4000
3073344000
(307) 334 4000
3077876756
(307) 787 3313
(307) 787 3313
(307) 787 3313
(307) 787 3313
3077876123
3072763306
3072763306
3072763306
3072763306
3072763306
3072763306
3072763306
3072763306
3072763306
3072763306
3072763306
3077563414
3077563414
3077563414
3077563414
3077563414
3077563414
3077563414
3077563414
3077563414
3077563414
3072833516
3072833516
3077563414
3077563344
3077563344
3077462741
3077464491
3077463582
(307) 746 3582
3077463582
3077464491
3077463582
3077463582
3077463582
3077463582
3077464491
3077469200
3077464491
3077462371
3077464456
3077464456
3077464456
3077464456
3077464456
3077464456
3077464456
3077464456
3077464456
3077464456
3077464456
CLINIC NAME
NORTH BIG HORN HOSPITAL DISTRICT
NORTH BIG HORN HOSPITAL DISTRICT
NORTH BIG HORN HOSPITAL DISTRICT
NORTH BIG HORN HOSPITAL DISTRICT
NORTH BIG HORN HOSPITAL DISTRICT
NORTH BIG HORN HOSPITAL DISTRICT
RADIOLOGY INTERPRETATION SERVICES
RADIOLOGY INTERPRETATION SERVICES
YELLOWSTONE CHIROPRACTIC, P.C.
ADVANCEPCS
ADVANCEPCS
BIG COUNTRY REHAB
BIG COUNTRY REHAB
BIG COUNTRY REHAB
BIG COUNTRY REHAB
BIG COUNTRY REHAB
BIG COUNTRY REHAB
BIG COUNTRY REHAB
NIOBRARA HEALTH AND LIFE
NIOBRARA HEALTH AND LIFE
NIOBRARA HEALTH AND LIFE
NORTH BIG HORN HOSPITAL DISTRICT
PLATTE COUNTY MEMORIAL HOSPITAL
RAWHIDE RURAL HEALTH CLINIC
ADVANCEPCS
BRIDGER VALLEY FAMILY PRACTICE
BRIDGER VALLEY FAMILY PRACTICE
EVANSTON CLINIC CORPORATION
EVANSTON CLINIC CORPORATION
Wortham Vision & Hearing
Sublette County Rural Health Care District
Sublette County Rural Health Care District
Sublette County Rural Health Care District
Sublette County Rural Health Care District
Sublette County Rural Health Care District
Sublette County Rural Health Care District
Sublette County Rural Health Care District
Sublette County Rural Health Care District
Sublette County Rural Health Care District
Sublette County Rural Health Care District
Womens Health Center and Family Care Clinic LLC
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
North Platte Physical Therapy
North Platte Physical Therapy
REGIONAL HEALTH PHYSICIANS
Treasured Memories Hospice
Wyoming Home Health Inc
ADVANCEPCS
BLACK HILLS ORTHO & SPINE CENTER
CEDAR HILLS FAMILY CLINIC
CEDAR HILLS FAMILY CLINIC
CEDAR HILLS FAMILY CLINIC
CEDAR HILLS FAMILY CLINIC
CEDAR HILLS FAMILY CLINIC
CEDAR HILLS FAMILY CLINIC
CEDAR HILLS FAMILY CLINIC
CEDAR HILLS FAMILY CLINIC
CEDAR HILLS FAMILY CLINIC
Elliott Chiropractic
Neurosurgical & Spinal Surgery Associates PC
New Castle Vision Clinic
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
ADDRESS1
ADDRESS2
NORTH BIG HORN HOSPITAL CLINIC
1115 LANE 12
1115 LANE 12
1115 LANE 12
1115 LANE 12
1115 LANE 12
1115 LANE 12
NORTH BIG HORN HOSPITAL CLINIC
1115 LN 12
NORTH BIG HORN HOSPITAL DISTRICT
1115 LN 12
223 E MAIN ST
209 S MAIN ST
232 S MAIN ST
BIG COUNTRY REHABILITATION
521 E 10TH ST
BIG COUNTRY REHABILITATION
521 E 10TH ST
BIG COUNTRY REHABILITATION
521 E 10TH ST
BIG COUNTRY REHABILITATION
521 E 10TH ST
BIG COUNTRY REHABILITATION
521 E 10TH ST
BIG COUNTRY REHABILITATION
521 E 10TH ST
BIG COUNTRY REHABILITATION
521 E 10TH ST
NIOBRARA HEALTH CENTER
921 S BALLANCEE
NIOBRARA HEALTH & LIFE CENTER
921 S BALLANCEE AVE
NIOBRARA HEALTH AND LIFE
921 SOUTH BALLANCE
921 S BALLANCEE AVE
PO BOX 780
921 BALLANCEE AVE
106 S MAIN ST
107 N MAIN ST
107 N MAIN ST
107 N MAIN ST
107 N MAIN ST
WORTHAM VISION & HEARING
106 S MAIN
MARBLETON BIG PINEY CLINIC
103 W 3RD ST
MARBLETON BIG PINEY CLINIC
103 W 3RD ST
MARBLETON BIG PINEY CLINIC
103 W 3RD ST
MARBLETON BIG PINEY CLINIC
103 W 3RD ST
MARBLETON BIG PINEY CLINIC
103 W 3RD ST
MARBLETON BIG PINEY CLINIC
103 W 3RD ST
SUBLETTE COUNTY RURAL HEALTH CARE DISTRICT
103 W 3RD ST
MARBLETON BIG PINEY CLINIC
103 W 3RD ST
MARBLETON BIG PINEY CLINIC
103 W 3RD ST
MARBLETON BIG PINEY CLINIC
103 W 3RD ST
WOMENS HEALTH CENTER AND FAMILY CARE CLINIC LLC17 W 3RD ST
MOORCROFT CLINIC
101 W CROOK
MOORCROFT CLINIC
208 N BIGHORN
MOORCROFT CLINIC
101 W CROOK
MOORCROFT CLINIC
208 N BIGHORN
MOORCROFT CLINIC
101 W CROOK
MOORCROFT CLINIC
101 W CROOK
MOORCROFT CLINIC
101 W CROOK
MOORCROFT CLINIC
208 N BIGHORN
MOORCROFT CLINIC
101 W CROOK
MOORCROFT CLINIC
208 N BIGHORN
BEAR LODGE REHABILITATION LLC
101 W CROOK
BEAR LODGE REHABILITATION LLC
101 W CROOK
MOORCROFT CLINIC
208 N BIGHORN
TREASURED MEMORIES HOSPICE
116 N LITTLE HORN
SHARONS HOME HEALTH
116 N LITTLE HORN
205 BOYD AVE
BLACK HILLS ORTHO & SPINE CNTR PC
1124 WASHINGTON BLVD
CEDAR HILLS FAMILY CLINIC PC
1121 WASHINGTON
1121 WASHINGTON
CEDAR HILLS FAMILY CLINIC PC
1121 WASHINGTON
WESTON COUNTY HEALTH SERVICES
1124 WASHINGTON BLVD
CEDAR HILLS FAMILY CLINIC PC
1121 WASHINGTON
CEDAR HILLS FAMILY CLINIC PC
1121 WASHINGTON
CEDAR HILLS FAMILY CLINIC PC
1121 WASHINGTON
CEDAR HILLS FAMILY CLINIC PC
1121 WASHINGTON
WESTON COUNTY HEALTH SERVICES
1124 WASHINGTON BLVD
ELLIOTT CHIROPRACTIC
1 S SENECA AVE STE A
WESTON COUNTY HEALTH SERVICES
1124 WASHINGTON BLVD
NEW CASTLE VISION CLINIC
101 S RAILWAY
NORTHERN WYOMING MENTAL HEALTH CENTER INC
420 DEANNE AVE
NORTHERN WYOMING MENTAL HEALTH CENTER INC
420 DEANNE AVE
NORTHERN WYOMING MENTAL HEALTH CENTER INC
420 DEANNE AVE
NORTHERN WYOMING MENTAL HEALTH CENTER INC
420 DEANNE AVE
NORTHERN WYOMING MENTAL HEALTH CENTER INC
420 DEANNE AVE
NORTHERN WYOMING MENTAL HEALTH CENTER INC
420 DEANNE AVE
NORTHERN WYOMING MENTAL HEALTH CENTER INC
420 DEANNE AVE
NORTHERN WYOMING MENTAL HEALTH CENTER INC
420 DEANNE AVE
NORTHERN WYOMING MENTAL HEALTH CENTER INC
420 DEANNE AVE
NORTHERN WYOMING MENTAL HEALTH CENTER INC
420 DEANNE AVE
NORTHERN WYOMING MENTAL HEALTH CENTER INC
420 DEANNE AVE
CITY
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LOVELL
LUSK
LUSK
LUSK
LUSK
LUSK
LUSK
LUSK
LUSK
LUSK
LUSK
LUSK
LUSK
LUSK
LUSK
LUSK
LYMAN
LYMAN
LYMAN
LYMAN
LYMAN
LYMAN
MARBLETON
MARBLETON
MARBLETON
MARBLETON
MARBLETON
MARBLETON
MARBLETON
MARBLETON
MARBLETON
MARBLETON
MARBLETON
MOORCROFT
MOORCROFT
MOORCROFT
MOORCROFT
MOORCROFT
MOORCROFT
MOORCROFT
MOORCROFT
MOORCROFT
MOORCROFT
MOORCROFT
MOORCROFT
MOORCROFT
MOORCROFT
MOORCROFT
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82431
82431
82431
82431
82431
82431
82431
82431
82431
82225
82225
82225
82225
82225
82225
82225
82225
82225
82225
82225
82225
82225
82225
82225
82937
82937
82937
82937
82937
82937
83113
83113
83113
83113
83113
83113
83113
83113
83113
83113
83113
82721
82721
82721
82721
82721
82721
82721
82721
82721
82721
82721
82721
82721
82721
82721
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
SPEC
PAC
PAC
NP
FP
SU
HSP
RADR
RADR
CH
PHY
PHY
PT
PT
OT
PT
OT
OT
OT
FP
EM
FP
FP
EM
HSP
PHY
FP
PAC
PAC
PAC
OD
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
OG
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
OT
PT
RADR
HSCB
HOHE
PHY
OR
FP
FP
FP
FP
FP
FP
FP
FP
FP
CH
SUNS
OD
CUMH
PSPS
CUMH
CUMH
CUMH
PY
CUMH
CUMH
CUMH
CUMH
CUMH
SPECIALTY_DESCR
Physician Assistant
Physician Assistant
Nurse Practitioner
Family Practice
Surgery
HOSPITAL
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Chiropractor
Pharmacy
Pharmacy
Physical Therapist
Physical Therapist
Occupational Therapist
Physical Therapist
Occupational Therapist
Occupational Therapist
Occupational Therapist
Family Practice
Emergency Medicine
Family Practice
Family Practice
Emergency Medicine
HOSPITAL
Pharmacy
Family Practice
Physician Assistant
Physician Assistant
Physician Assistant
Optometrist
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Obstetrics & Gynecology
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Occupational Therapist
Physical Therapist
Radiology - Diagnostic Radiology
Hospice Care, Community Based
Home Health
Pharmacy
Orthopaedic Surgery
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Chiropractor
Neurological Surgery
Optometrist
Counselor - Mental Health
Psychiatry & Neurology - Psychiatry
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychologist
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Page 32 of 57
LAST_NAME
WHITE
WINTER
SCHABAUER
CARPENTER
DUEHRSSEN
FRANKLIN
JAGELSKI
JOHNSTON
JORDING
MASON
REIMER
SENNHOLZ
THEDIECK
WESTON COUNTY HEALTH SERVICES
WESTON COUNTY HEALTH SERVICES
PINEDALE DRUGS
GUIER
LOFARO
MORAN
ROBERTS
ZEER
KHOURY
SKENE
ALBRITTON MCDONALD
BURNETT
DEMETRIOU
EVANS
GOSAR
KAPPENMAN
MUELLER
QUIRK
ROZIER
WALLACE
GEORGE
PAMIDA #252
POWELL UNITED DRUG
HALL
JOHNSON
WILLIAMS
BILES
BEACHLER
FRASER
KLEE
MAININI
MELZER
THOMETZ
WEAVER
WELCH
WELCH
JOLLEY
LUNDBERG
STEPHENS
PELCZAR
EMERY
SCHMIDT
SCHNEIDER
SCHNEIDER
SCHNEIDER
PRIDDY
GIFFORD-SUTTON
BULLEY
TALLMAN
POWELL VALLEY HOSPITAL
DURNEY
DURNEY
REDDER
BARRETT, JR.
BLANCHARD
BOHLMAN
BRECHEEN
CHANDLER
CHRISTENSEN
DICKERSON
HANSEN
HOELLWARTH
HORTON
KATZ
KEELER
LAVEAU
LENGFELDER
MANGUM
08/22/2013
FIRST_NAME
JENNIFER
CHRISTINE
ALEXANDER
MICHAEL
MICHAEL
DUANE
AARON
SCOTT
MICHAEL
JAN
LANNY
KELLY
ANN
TITLE
CHRISTIAN
MAURA
CHRISTINA
SHANNON
JENNIFER
DAVID
GEOFFREY
CAROLYN
WILLIAM
JAMES
SHANNON
GRACE
DAVID
JULIE
JAMES
LESLIE
STEPHEN
S DOUGLAS
JACQUELINE
JUDE
ANGELA
JIMMIE
LAEL
D HUGH
LAWRENCE
STEPHEN
RICHARD
ALAN
DANIEL
CHARLES
CHARLES
AIMEE
TASHIE
LISA
BRIAN
STEPHEN
FRANK
JOHN
JOHN
JOHN
J THOMAS
PENNY
PETER
PHILIP
SARAH
SARAH
ANGELA
ROBERT
CATHY
MICHAEL
ROGER
ROBERT
KELLY
ROBERT
JEFFREY
CHRISTOPHER
LYNN
STEPHEN
JANA
PAUL
VALARIE
BRADLEY
MD
MD
PAC
CRNA
APRN
MD
MD
MD
MD
MD
MD
CRNA
MD
CRNA
PAC
MD
MD
FNP
PHONE
3077464456
3077464456
3077464491
3077464491
3077464491
3077464491
3077464491
3077464491
3077464491
3077464491
3077464491
3077464491
3077464491
3077464491
(307) 746 4491
3073674451
3073674133
3077341005
3077341005
3077341005
3077341005
3073674133
8003591335
3073674133
3073674133
3073674133
3073674133
3073674133
3073674133
3073674133
3073674133
3073674133
3073674133
3077341313
3077542755
3077542031
3077542019
3077542019
3077542019
3077549262
3077542267
3077542267
3077549191
3077542267
3077542267
8003251774
8003251774
3077547257
3077542267
3077512864
3077542864
3077542864
3077542267
3077542267
3077542267
3077542267
3077547257
3077549191
3077547151
3077542240
3077542267
(307) 754 2267
(307) 754 4559
(307) 754 7257
(307) 754 4559
(307) 754 1261
(307) 754 1261
(307) 754 1261
(307) 754 1261
(307) 754 1261
(307) 754 7257
(307) 754 1261
(307) 754 1261
(307) 754 1261
(307) 754 1261
(307) 754 1261
(307) 754 1261
(307) 754 1261
(307) 754 1261
(307) 754 1261
CLINIC NAME
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Regional Heart Doctors
WESTON COUNTY HEALTH SERVICES
WESTON COUNTY HEALTH SERVICES
WESTON COUNTY HEALTH SERVICES
WESTON COUNTY HEALTH SERVICES
WESTON COUNTY HEALTH SERVICES
WESTON COUNTY HEALTH SERVICES
WESTON COUNTY HEALTH SERVICES
WESTON COUNTY HEALTH SERVICES
WESTON COUNTY HEALTH SERVICES
WESTON COUNTY HEALTH SERVICES
WESTON COUNTY HEALTH SERVICES
WESTON COUNTY HEALTH SERVICES
ADVANCEPCS
Christian A Guier MD
Gros Ventre OB/GYN LLP
Gros Ventre OB/GYN LLP
Gros Ventre OB/GYN LLP
Gros Ventre OB/GYN LLP
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
Sublette County Rural Health Care District
Sublette County Rural Health Care District
Sublette County Rural Health Care District
Sublette County Rural Health Care District
Sublette County Rural Health Care District
Sublette County Rural Health Care District
Sublette County Rural Health Care District
Sublette County Rural Health Care District
Sublette County Rural Health Care District
Sublette County Rural Health Care District
Womens Health Center and Family Care Clinic LLC
ADVANCEPCS
ADVANCEPCS
ADVANTAGE REHAB
ADVANTAGE REHAB
ADVANTAGE REHAB
BIG HORN BASIN ORTHOPEDIC CLINIC, P.C.
BIG HORN FOOT CLINIC, P.C.
BIG HORN FOOT CLINIC, P.C.
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
CHARLES G. WELCH, PC
CHARLES G. WELCH, PC
CHILDRENS RESOURCE CENTER
CHILDRENS RESOURCE CENTER
CHILDRENS RESOURCE CENTER
EAR NOSE & THROAT ASSOCIATES
NORTHERN ROCKIES NEUROMONITORING
NORTHERN ROCKIES NEUROMONITORING
NORTHERN ROCKIES NEUROMONITORING
NORTHERN ROCKIES NEURO-SPINE
NORTHERN ROCKIES NEURO-SPINE
Ophthalmic Associates of Billings LLC
PENNY GIFFORD COUNSELING SERV
PHILIP TALLMAN, MD
PHILIP TALLMAN, MD
POWELL HOSPITAL
POWELL VALLEY CLINIC
POWELL VALLEY CLINIC
POWELL VALLEY CLINIC
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
ADDRESS1
ADDRESS2
NORTHERN WYOMING MENTAL HEALTH CENTER INC
420 DEANNE AVE
NORTHERN WYOMING MENTAL HEALTH CENTER INC
420 DEANNE AVE
WESTON COUNTY HEALTH SERVICES
1124 WASHINGTON BLVD
WESTON COUNTY HEALTH SERVICES
1124 WASHINGTON BLVD
WESTON COUNTY HEALTH SERVICES
1124 WASHINGTON BLVD
WESTON COUNTY HEALTH SERVICES
1124 WASHINGTON BLVD
WESTON COUNTY HEALTH SERVICES
1124 WASHINGTON BLVD
WESTON COUNTY HEALTH SERVICES
1124 WASHINGTON BLVD
WESTON COUNTY HEALTH SERVICES
1124 WASHINGTON BLVD
WESTON COUNTY HEALTH SERVICES
1124 WASHINGTON BLVD
WESTON COUNTY HEALTH SERVICES
1124 WASHINGTON BLVD
WESTON COUNTY HEALTH SERVICES
1124 WASHINGTON BLVD
WESTON COUNTY HEALTH SERVICES
1124 WASHINGTON BLVD
WESTON COUNTY HEALTH SERVICES
1124 WASHINGTON BLVD
1124 WASHINGTON BLVD.
341 E PINE ST
PINEDALE CLINIC
619 E HENNICK
GROS VENTRE OB/GYN LLP
333 N BRIDGER
GROS VENTRE OB/GYN LLP
333 N BRIDGER
GROS VENTRE OB/GYN LLP
333 N BRIDGER
GROS VENTRE OB/GYN LLP
333 N BRIDGER
PINEDALE CLINIC
619 E HENNICK
TETON ORTHOPAEDICS
619 E HENNICK
PINEDALE MEDICAL CLINIC
625 E HENNICK
PINEDALE MEDICAL CLINIC
625 E HENNICK
PINEDALE MEDICAL CLINIC
625 E HENNICK
PINEDALE MEDICAL CLINIC
625 E HENNICK
PINEDALE MEDICAL CLINIC
625 E HENNICK
PINEDALE MEDICAL CLINIC
625 E HENNICK
PINEDALE MEDICAL CLINIC
625 E HENNICK
PINEDALE MEDICAL CLINIC
625 E HENNICK
PINEDALE MEDICAL CLINIC
625 E HENNICK
PINEDALE MEDICAL CLINIC
625 E HENNICK
WOMENS HEALTH CENTER AND FAMILY CARE CLINIC LLC619 E HENNICK
1005 US HWY 14 A
140 N BENT ST
ADVANTAGE REHAB
443 WEST COULTER #3
ADVANTAGE REHAB
443 WEST COULTER #3
ADVANTAGE REHAB
443 WEST COULTER #3
BIG HORN BASIN ORTHOPAEDIC CLINIC
1002 RD 11
BIG HORN FOOT CLINIC
777 AVE H
BIG HORN FOOT CLINIC
777 AVE H
POWELL VALLEY HOSPITAL
777 AVE H
POWELL VALLEY HOSPITAL
777 AVE H
POWELL VALLEY HOSPITAL
777 AVE H
BILLINGS CLINIC
777 AVE H
BILLINGS CLINIC
777 AVE H
MOUNTAIN VIEW MEDICAL CENTER
449 MOUNTAIN VIEW
POWELL VALLEY HOSPITAL
777 AVE H
558 E SECOND ST
558 EAST 2ND ST
558 E SECOND ST
POWELL VALLEY HEALTH CARE
777 AVE H
POWELL VALLEY HEALTH CARE
777 AVE H
POWELL VALLEY HEALTH CARE
777 AVE H
POWELL VALLEY HEALTH CARE
777 AVE H
MOUNTAIN VIEW MEDICAL CENTER
449 MOUNTAIN VIEW
POWELL VALLEY HOSPITAL
777 AVE H
HEART MOUNTAIN EYECARE GROUP
255 W 3RD ST
253 E 2ND STE 3
PHILIP TALLMAN MD PC
777 AVE H
POWELL VALLEY HEALTH CARE
777 AVE H
777 AVE "H"
POWELL HOSPITAL OP
777 AVE H
POWELL VALLEY CLINIC
777 AVE H
POWELL VALLEY CLINIC
450 MOUNTAIN VIEW ST
POWELL VALLEY CLINIC
450 MOUNTAIN VIEW ST.
POWELL VALLEY CLINIC
450 MOUNTAIN VIEW ST.
POWELL VALLEY CLINC
450 MOUNTAIN VIEW ST
POWELL VALLEY CLINIC
450 MOUNTAIN VIEW ST.
POWELL VALLEY CLINIC
450 MOUNTAIN VIEW ST.
450 MOUNTAIN VIEW ST
POWELL VALLEY CLINIC
450 MOUNTAIN VIEW ST
POWELL VALLEY CLINIC
450 MOUNTAIN VIEW ST.
450 MOUNTAIN VIEW ST.
POWELL VALLEY CLINIC
450 MOUNTAIN VIEW ST.
POWELL VALLEY CLINIC
450 MOUNTAIN VIEW ST.
POWELL VALLEY CLINIC
450 MOUNTAIN VIEW ST.
POWELL VALLEY CLINIC
450 MOUNTAIN VIEW ST.
POWELL VALLEY CLINIC
450 MOUNTAIN VIEW ST.
POWELL VALLEY CLINIC
450 MOUNTAIN VIEW ST.
CITY
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
NEWCASTLE
PINEDALE
PINEDALE
PINEDALE
PINEDALE
PINEDALE
PINEDALE
PINEDALE
PINEDALE
PINEDALE
PINEDALE
PINEDALE
PINEDALE
PINEDALE
PINEDALE
PINEDALE
PINEDALE
PINEDALE
PINEDALE
PINEDALE
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82701
82941
82941
82941
82941
82941
82941
82941
82941
82941
82941
82941
82941
82941
82941
82941
82941
82941
82941
82941
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
82435
SPEC
CUMH
PY
IMCV
FP
EM
EM
FP
EM
EM
FP
EM
EM
EM
EM
HSP
PHY
OR
OG
OG
OG
OG
OR
RE
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
OG
PHY
PHY
PT
PT
PT
OR
PO
PO
SUUR
IM
SUUR
IMEP
OP
SU
SU
SLP
SLP
PT
OL
OR
OR
SUNS
SUNS
SUNS
OP
CUMH
DM
DM
HSP
FP
FP
PAC
ANEN
NP
FP
OG
FP
FP
FP
OR
ANEN
FP
ANEN
PAC
IMCV
FP
NPFA
SPECIALTY_DESCR
Counselor - Mental Health
Psychologist
Internal Medicine - Cardiovascular Disease
Family Practice
Emergency Medicine
Emergency Medicine
Family Practice
Emergency Medicine
Emergency Medicine
Family Practice
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
HOSPITAL
Pharmacy
Orthopaedic Surgery
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Orthopaedic Surgery
Physical Medicine & Rehabilitation
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Obstetrics & Gynecology
Pharmacy
Pharmacy
Physical Therapist
Physical Therapist
Physical Therapist
Orthopaedic Surgery
Podiatrist
Podiatrist
Urology
Internal Medicine
Urology
Internal Medicine - Clinical Cardiac Electrophysiology
Ophthalmology
Surgery
Surgery
Speech Language Pathologist
Speech Language Pathologist
Physical Therapist
Otolaryngology
Orthopaedic Surgery
Orthopaedic Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Ophthalmology
Counselor - Mental Health
Dermatology
Dermatology
HOSPITAL
Family Practice
Family Practice
Physician Assistant
Nurse Anesthetist, Certified Registered
Nurse Practitioner
Family Practice
Obstetrics & Gynecology
Family Practice
Family Practice
Family Practice
Orthopaedic Surgery
Nurse Anesthetist, Certified Registered
Family Practice
Nurse Anesthetist, Certified Registered
Physician Assistant
Internal Medicine - Cardiovascular Disease
Family Practice
Nurse Practitioner - Family
Page 33 of 57
LAST_NAME
POWELL VALLEY HOME CARE
RIEB
SPOMER
TRACY
WAGNER
WURZEL
MCEVOY
ZUCKERMAN
HASSLER
BORCHER
STEWART
STEWART
CROSS
BI-RITE PHARMACY
BI-RITE PROF PHCY
CITY MARKET FOOD PHARM #12
PAMIDA #126
CESKO
PONT
KINDRED NURSING AND REHABILITATION RAWLINS
ABELS
BRYAN
CHIZEVER
FRANCE
FRANCIS
GARBER
HARTE
HEDIGER
HIGGINBOTHAM
HINSHAW
LARSEN
LOTSTEIN
MEMORIAL HOSP CARBON COUNTY
MILNE
PERRY
TRENT
YOUNG
PREMIUM HEALTH AT HOME
PROFESSIONAL OXYGEN SUPPLY
SRIDHARAN
COUCH
LINDSEY
COUCH
HAYNES
TRENT
SCHULZE
MARTINCHICK
ARAPAHOE HEALTH CENTER PHARMACY
KMART #4837
SAFEWAY #0461
SMITH'S FOOD & DRUG #183
WALGREENS #10446
WALMART #1457
STANLEY
WILLIAMS
HARNETTY
KNIERIM
SANTOSA
HAMILTON
JENKINS
MORGAN
NEFF
OTTERSBACH
RAINER
SCORESBY
ZOLLER
GUIER
MULLINIX
LAMBLIN
LEWIS
LEWIS
MERCER
MERCER
MERCER
CONNER
DEL REAL
FUHR
GARRETT
HANSER
MCMAHON
PAQUIN
08/22/2013
FIRST_NAME
TITLE
PHONE
NATHANIEL
ELIZABETH
MICHAEL
KARLA
MARK
JAMES
JEFFREY
AJAKAI
TINA
GREGORY
GREGORY
GREGORY
MD
MD
MD
MD
MD
(307) 754 1261
(307) 754 1261
(307) 754 1261
(307) 754 1261
(307) 754 1261
3077542267
3077542267
3072723237
3072540661
3077545773
3077547257
3077544559
3073243403
3073243403
3073281421
3073245276
(307) 324 3667
3073210307
3073242759
DAVID
DANIEL
DUANE
ROY
GARY
MICHAEL
JOYCE
HOWARD
SUSAN
ROY
MICHAEL
VINCENT
JAMES
ROBERT
(307) 324 3221
3073242221
3073246022
DO
(307) 324 2221
3073242221
LILLIAN
LINDA
JAMES
CHARLES
P
MARVIN
ANN
MARVIN
GERALD
JAMES
KENNETH
JAMES
SCOTT
MARY ELLEN
PAUL
GABRIELE
RONNY
ANDREW
MELISSA
VAUGHN
ANGELA
GARY
DEIDRE
TRAVIS
KAREN
CHRISTIAN
MATTHEW
CORY
DENNIS
DENNIS
TARA
TARA
TARA
BARBARA
FRANK
AMY
KEVIN
MICKI
PATTI
MARLENE
MD
(307) 324 9356
(307) 328 1357
3073242705
(307) 324 6002
3073245899
(307) 324 6603
3073246002
(307) 324 9098
3073246022
3073242221
3078569281
3078562261
3078576833
3078564934
3078576023
3078563269
3078564400
3078576100
3074637160
3074637160
3074637160
3074637160
3074637160
3078576685
3074637160
3074637160
3074637160
3074637160
3078576685
3078564161
3078564161
3073329720
3078575220
3078564161
3078573488
3078573488
3078564161
3078566587
3078566587
3078566587
3078566587
3078566587
3078566587
3078566587
CLINIC NAME
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
POWELL VALLEY HEALTH CARE INC
RADIOLOGY INTERPRETATION SERVICES
RADIOLOGY INTERPRETATION SERVICES
Three Amigos Clinic
TINA D. BORCHER, MA
UROLOGICAL SRV OF NORTHERN WYO
UROLOGICAL SRV OF NORTHERN WYO
WEST PARK HOSPITAL DISTRICT
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
CESKO FAMILY MEDICINE
DAN PONT COUNSELING
Kindred Nursing and Rehabilitation Rawlins
MEMORIAL HOSPITAL OF CARBON COUNTY
MEMORIAL HOSPITAL OF CARBON COUNTY
MEMORIAL HOSPITAL OF CARBON COUNTY
MEMORIAL HOSPITAL OF CARBON COUNTY
MEMORIAL HOSPITAL OF CARBON COUNTY
MEMORIAL HOSPITAL OF CARBON COUNTY
MEMORIAL HOSPITAL OF CARBON COUNTY
MEMORIAL HOSPITAL OF CARBON COUNTY
MEMORIAL HOSPITAL OF CARBON COUNTY
MEMORIAL HOSPITAL OF CARBON COUNTY
MEMORIAL HOSPITAL OF CARBON COUNTY
MEMORIAL HOSPITAL OF CARBON COUNTY
MEMORIAL HOSPITAL OF CARBON COUNTY
MEMORIAL HOSPITAL OF CARBON COUNTY
MEMORIAL HOSPITAL OF CARBON COUNTY
MEMORIAL HOSPITAL OF CARBON COUNTY
MEMORIAL HOSPITAL OF CARBON COUNTY
PREMIUM HEALTH AT HOME
PROFESSIONAL OXYGEN SUPPLY INC
PV SRIDHARAN, MD
RAWLINS FAMILY MEDICAL, P.C.
RAWLINS FAMILY MENTAL HEALTH CENTER
RAWLINS URGENT CARE
RAWLINS URGENT CARE
WAGON CIRCLE FAMILY PRACTICE
WAGON CIRCLE ORTHOPEDIC CLINIC
WYOMING PATHOLOGY INC.
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
BIG COUNTRY CHIROPRACTIC CENTER
CENTRAL WYOMING UROLOGICAL ASSOCIATES,PC
CHC OF CENTRAL WY INC
CHC OF CENTRAL WY INC
CHC OF CENTRAL WY INC
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
CHCCW
Christian A Guier MD
Chukar Haven Anesthesia
CORY J LAMBLIN MD PC
Dennis M Lewis MD PC
Dennis M Lewis MD PC
Evergreen Pediatrics
Evergreen Pediatrics
Evergreen Pediatrics
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
ADDRESS1
777 AVE H
POWELL VALLEY CLINIC
POWELL VALLEY CLINIC
POWELL VALLEY CLINIC
POWELL VALLEY CLINIC
POWELL VALLEY CLINIC
RADIOLOGY INTERPRETATION SERVICES INC
RADIOLOGY INTERPRETATION SERVICES INC
THREE AMIGOS CLINIC
652 CEDARWOOD DR
MOUNTAIN VIEW MEDICAL CENTER
POWELL CLINIC
450 MOUNTAIN VIEW ST
511 1/2 BUFFALO ST
300 3RD ST
602 N HIGLEY BLVD
2100 E CEDAR ST
819 W MAPLE ST
822 E KENDRICK ST
KINDRED NURSING AND REHABILITATION RAWLINS
P O BOX 460
PO BOX 460
P O BOX 460
P O BOX 460
2221 W ELM ST
P O BOX 460
P O BOX 460
2012 W ELM ST
P O BOX 460
2221 W. ELM STREET
P O BOX 460
P O BOX 460
2221 W ELM ST
P O BOX 460
P O BOX 460
P O BOX 460
P O BOX 460
515 3RD ST
417 W BUFFALO ST
519 8TH ST
606 W 23RD ST
501 W BUFFALO
RAWLINS URGENT CARE
606 WEST 23RD ST
2012 W ELM ST
2012 W ELM ST
MEMORIAL HOSPITAL OF CARBON COUNTY
14 GREAT PLAINS RD
1960 N FEDERAL BLVD
708 N FEDERAL BLVD
1200 W MAIN ST
845 N FEDERAL BLVD
1733 N FEDERAL BLVD
BIG COUNTRY CHIROPRACTIC
CENTRAL WYOMING UROLOGICAL ASSOCIATES
FREMONT COMMUNITY HEALTH CENTER
FREMONT COMMUNITY HEALTH CENTER
FREMONT COMMUNITY HEALTH CENTER
FREMONT COMMUNITY HEALTH CENTER
FREMONT COMMUNITY HEALTH CENTER
RIVERTON COMMUNITY HEALTH
FREMONT COMMUNITY HEALTH CENTER
FREMONT COMMUNITY HEALTH CENTER
FREMONT COMMUNITY HEALTH CENTER
FREMONT COMMUNITY HEALTH CENTER
RIVERTON COMMUNITY HEALTH
RIVERTON MEMORIAL HOSPITAL
CHUKAR HAVEN ANESTHESIA
CORY J LAMBLIN MD PC
DENNIS M LEWIS MD PC
RIVERTON MEMORIAL HOSPITAL
EVERGREEN PEDIATRICS
EVERGREEN PEDIATRICS
RIVERTON MEMORIAL HOSPITAL
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
FREMONT COUNSELING SERVICE
ADDRESS2
450 MOUNTAIN VIEW ST.
450 MOUNTAIN VIEW ST
450 MOUNTAIN VIEW ST
450 MOUNTAIN VIEW ST.
450 MOUNTAIN VIEW ST.
777 AVE H
777 AVE H
1071 LANE 11 1/2
450 MOUNTAIN VIEW BLDG D
777 AVE H
542 16TH ST
606 23RD ST / PO BOX 481
2221 W ELM ST
611 E MAIN ST
1025 COLLEGE VIEW DR
511 N 12TH ST E STE A
511 N 12TH ST E STE A
511 N 12TH ST E STE A
511 N 12TH ST E STE A
511 N 12TH ST E STE A
511 N 12TH ST E
511 N 12TH ST E STE A
511 N 12TH ST E STE A
511 N 12TH ST E STE A
511 N 12TH ST E STE A
511 N 12TH ST E
2100 W SUNSET
2100 W SUNSET DR
1223 E PARK ST
1005 COLLEGE VIEW DR
2100 W SUNSET
1005 COLLEGE VIEW DR
1035 ROSE LANE STE E
2100 W SUNSET
110 MAJOR AVE
110 MAJOR AVE
110 MAJOR AVE
110 MAJOR AVE
110 MAJOR AVE
110 MAJOR AVE
110 MAJOR AVE
CITY
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
POWELL
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RAWLINS
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82435
82435
82435
82435
82435
82435
82435
82435
82435
824351743
82435
82435
82435
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82301
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
SPEC
HHA
SU
FP
IM
OGGY
FP
RADR
RADR
PY
CUMH
SUUR
SUUR
RADR
PHY
PHY
PHY
PHY
FP
CUMF
HONA
EM
FP
SU
FP
AN
EM
EM
RADR
IMCA
FP
EM
FP
HSP
RN
AN
FP
EM
HHA
DME
SU
FP
CUMH
FP
PAC
FP
OR
PGAP
PHY
PHY
PHY
PHY
PHY
PHY
CH
SUUR
OG
FP
OG
CUMH
PY
FP
PSPS
FP
PY
OG
FP
OR
AN
OR
SU
SU
PD
PD
PD
CUMH
PSPS
CUMH
CUMH
CUMH
CUMH
CUMH
SPECIALTY_DESCR
HOME HEALTH AGENCY
Surgery
Family Practice
Internal Medicine
Obstetrics & Gynecology - Gynecology
Family Practice
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Psychologist
Counselor - Mental Health
Urology
Urology
Radiology - Diagnostic Radiology
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Family Practice
Marriage & Family Therapist
Nursing Care
Emergency Medicine
Family Practice
Surgery
Family Practice
Anesthesiology
Emergency Medicine
Emergency Medicine
Radiology - Diagnostic Radiology
Family Practice
Emergency Medicine
Family Practice
HOSPITAL
Registered Nurse
Anesthesiology
Family Practice
Emergency Medicine
HOME HEALTH AGENCY
Surgery
Family Practice
Counselor - Mental Health
Family Practice
Physician Assistant
Family Practice
Orthopaedic Surgery
Pathology - Anatomic Pathology
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Chiropractor
Urology
Obstetrics & Gynecology
Family Practice
Obstetrics & Gynecology
Counselor - Mental Health
Psychologist
Family Practice
Psychiatry & Neurology - Psychiatry
Family Practice
Psychologist
Obstetrics & Gynecology
Family Practice
Orthopaedic Surgery
Anesthesiology
Orthopaedic Surgery
Surgery
Surgery
Pediatrics
Pediatrics
Pediatrics
Counselor - Mental Health
Psychiatry & Neurology - Psychiatry
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Page 34 of 57
LAST_NAME
PARKER
STEGER
STOPCZYNSKI
ASBELL
HANSEN
JOHNSON
BAINTER
HOPKIN
HOPKIN
SCHEER
SCHEER
LOWHAM
QUILLEN
DUEL
DYVETTER
KIDD
THAPAR
ALLEN
BEIA
BIERRER
BILLIN
DILLARD
HASKEL
JARRARD
KENWORTHY
NORTH
RIVERTON MEMORIAL HOSPITAL
STIEGLITZ
WANG
ZIBULEWSKY
BECK
JOST
BONHAM
BONHAM
WILSON
HARRIS
LOVELL
HARRIS
RIVERTON MEMORIAL HOSPITAL
CALDWELL
DONALDSON
DONALDSON
DONALDSON
DONALDSON
DONALDSON
GOSE
JONES
OGOBODO
POLITO
POLITO
POLSON
POLSON
RECKLING
ROBERTS
ROBERTS
SIGGARD
SIGGARD
SORENSON
KARN
KARN
FORD
FORD
FORD
RAMSEY
RAMSEY
RAMSEY
SIGGARD
WILLIAMSON
WILLIAMSON
WILLIAMSON
BALLARD
FRAZIER
HINKLE
FROST
LEWIS
LEWIS
MERCER
MERCER
MERCER
SIMS
FORSHA
08/22/2013
FIRST_NAME
REBECCA
DAVID
GERALD
KIM
COURTNEY
MITCHELL
TODD
JUSTIN
JUSTIN
GENTIAN
GENTIAN
ANTHONY
CAROL
GINA
JOLENE
JUSTIN
KAMAL
PAUL
TODD
BRET
AARON
FAITH
JEFFREY
JERRY
AMY
BRADLEY
TITLE
JEFFREY
NEIL
JOSEPH
JOSHUA
HEIDI
CHRISTINE
CHRISTINE
CHARLES
RICHARD
JASON
RICHARD
PHONE
3078566587
(307) 856 7800
3078577071
3078567021
(307) 856 7021
(307) 856 7021
5088363663
5088363663
3078564161
5088363663
3078564161
3078573488
3078575280
3078564176
3078564176
3078564176
3078564176
3078564161
3078564161
3078564161
3078564161
3078564161
3078564161
3078564161
3078564161
3078564161
3078564161
3078564161
3078564161
3078564161
8003591335
8003591335
3077095075
3077095075
3078576685
(307) 857 7071
8005230305
3078574969
NICOLE
AARON
AARON
AARON
AARON
AARON
ROGER
RICHARD
EMMANUEL
JEFFREY
JEFFREY
AIDA
AIDA
JOHN
ANDREW
ANDREW
KIPLEY
KIPLEY
RICHARD
CIELETTE
CIELETTE
MICHAEL
MICHAEL
MICHAEL
JOANN
JOANN
JOANN
KIPLEY
ANTHONY
ANTHONY
ANTHONY
BRIAN
CHRISTOPHER
JAMES
JANET
SANDEE
SANDEE
JOHN
JOHN
JOHN
LINDA
DOUGLASS
3078573488
3078573488
3078573488
3078564161
3078573488
3078566600
3078573488
3078573488
3078573488
3078564161
3078573488
3078564161
3078566600
3078573488
3078564161
3078575218
3078564161
3078573488
3078573488
3078564161
3078573488
3078564161
3078573488
3078562663
3078564161
3078573488
3078562663
3078566600
3078564161
3078566600
3078566600
3078569451
3078569451
3078569451
3078560382
3078560382
3078560382
3078564161
3078560382
3078560382
3078560382
8776890005
CLINIC NAME
FREMONT COUNSELING SERVICE
FREMONT FAMILY PRACTICE
FREMONT FAMILY PRACTICE
FREMONT THERAPY GROUP LLC
FREMONT THERAPY GROUP LLC
FREMONT THERAPY GROUP LLC
LANDER VALLEY MEDICAL CENTER
LANDER VALLEY MEDICAL CENTER
LANDER VALLEY MEDICAL CENTER
LANDER VALLEY MEDICAL CENTER
LANDER VALLEY MEDICAL CENTER
Lowham Surgery & Endoscopy
Lowham Surgery & Endoscopy
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
Mountain View Clinic
NORTHWEST EMERGENCY PHYSICIANS, INC.
NORTHWEST EMERGENCY PHYSICIANS, INC.
NORTHWEST EMERGENCY PHYSICIANS, INC.
NORTHWEST EMERGENCY PHYSICIANS, INC.
NORTHWEST EMERGENCY PHYSICIANS, INC.
NORTHWEST EMERGENCY PHYSICIANS, INC.
NORTHWEST EMERGENCY PHYSICIANS, INC.
NORTHWEST EMERGENCY PHYSICIANS, INC.
NORTHWEST EMERGENCY PHYSICIANS, INC.
NORTHWEST EMERGENCY PHYSICIANS, INC.
NORTHWEST EMERGENCY PHYSICIANS, INC.
NORTHWEST EMERGENCY PHYSICIANS, INC.
NORTHWEST EMERGENCY PHYSICIANS, INC.
Orthopaedics of Jackson Hole
Orthopaedics of Jackson Hole
RENEWED HOPE COUNSELING
Renewed Hope Counseling LLC
Riverton Community Health Center
RIVERTON FAMILY MEDICAL
RIVERTON FAMILY MEDICAL
Riverton Family Medical
RIVERTON MEMORIAL HOSPITAL
Riverton Memorial Hospital
Riverton Memorial Hospital
Riverton Memorial Hospital
Riverton Memorial Hospital
Riverton Memorial Hospital
Riverton Memorial Hospital
Riverton Memorial Hospital
Riverton Memorial Hospital
Riverton Memorial Hospital
Riverton Memorial Hospital
Riverton Memorial Hospital
Riverton Memorial Hospital
Riverton Memorial Hospital
Riverton Memorial Hospital
Riverton Memorial Hospital
Riverton Memorial Hospital
Riverton Memorial Hospital
Riverton Memorial Hospital
Riverton Memorial Hospital
RIVERTON PHYSICIAN PRACTICES
RIVERTON PHYSICIAN PRACTICES
Riverton Physician Practices
Riverton Physician Practices
Riverton Physician Practices
Riverton Physician Practices
Riverton Physician Practices
Riverton Physician Practices
Riverton Physician Practices
Riverton Physician Practices
Riverton Physician Practices
Riverton Physician Practices
RIVERTON VISION CENTER PC
RIVERTON VISION CENTER PC
RIVERTON VISION CENTER PC
Rocky Mountain Womens Health
Rocky Mountain Womens Health
Rocky Mountain Womens Health
Rocky Mountain Womens Health
Rocky Mountain Womens Health
Rocky Mountain Womens Health
Rocky Mountain Womens Health
SOUTH VALLEY DERMATOLOGY
ADDRESS1
FREMONT COUNSELING SERVICE
1130 MAJOR AVE
1130 MAJOR AVE
FREMONT THERAPY GROUP LLC
2002 W SUNSET DR
2002 WEST SUNSET DR STE 1
LANDER REGIONAL HOSPITAL HOSPITALISTS
LANDER REGIONAL HOSPITAL HOSPITALISTS
RIVERTON MEMORIAL HOSPITAL
LANDER REGIONAL HOSPITAL HOSPITALISTS
RIVERTON MEMORIAL HOSPITAL
RIVERTON PHYSICIAN PRACTICE
LOWHAM SURGERY & ENDOSCOPY PC
RIVERTON MEDICAL CLINIC
RIVERTON MEDICAL CLINIC
RIVERTON MEDICAL CLINIC
RIVERTON MEDICAL CLINIC
RIVERTON MEMORIAL HOSPITAL
RIVERTON MEMORIAL HOSPITAL
RIVERTON MEMORIAL HOSPITAL
RIVERTON MEMORIAL HOSPITAL
RIVERTON MEMORIAL HOSPITAL
RIVERTON MEMORIAL HOSPITAL
RIVERTON MEMORIAL HOSPITAL
RIVERTON MEMORIAL HOSPITAL
RIVERTON MEMORIAL HOSPITAL
RIVERTON MEMORIAL HOSPITAL
RIVERTON MEMORIAL HOSPITAL
RIVERTON MEMORIAL HOSPITAL
RIVERTON MEMORIAL HOSPITAL
TETON ORTHOPAEDICS
TETON ORTHOPAEDICS
102 S BROADWAY #212
RENEWED HOPE COUNSELING LLC
RIVERTON COMMUNITY HEALTH
1130 MAJOR AVE
716 COLLEGE VIEW DR STE A
RIVERTON FAMILY MEDICAL
2100 W SUNSET DR
RIVERTON PHYSICIAN PRACTICE
WIND RIVER PODIATRIC MEDICINE & SURGERY PC
WIND RIVER PODIATRIC MEDICINE & SURGERY PC
RIVERTON MEMORIAL HOSPITAL
RIVERTON PHYSICIAN PRACTICE
RIVERTON PHYSICIAN PRACTICES
WIND RIVER INTERNAL MEDICINE
WIND RIVER INTERNAL MEDICINE
RIVERTON PHYSICIAN PRACTICE
RIVERTON MEMORIAL HOSPITAL
RIVERTON PHYSICIAN PRACTICE
RIVERTON MEMORIAL HOSPITAL
RIVERTON PHYSICIAN PRACTICES
WIND RIVER INTERNAL MEDICINE
RIVERTON MEMORIAL HOSPITAL
WIND RIVER CLINIC
RIVERTON MEMORIAL HOSPITAL
RIVERTON PHYSICIAN PRACTICE
WIND RIVER INTERNAL MEDICINE
FREMONT PATHOLOGY
RIVERTON PHYSICIAN PRACTICE
RIVERTON MEMORIAL HOSPITAL
RIVERTON PHYSICIAN PRACTICE
WIND RIVER ORTHOPAEDICS
RIVERTON MEMORIAL HOSPITAL
RIVERTON PHYSICIAN PRACTICE
WIND RIVER ORTHOPAEDICS
WIND RIVER ORTHOPAEDICS
RIVERTON MEMORIAL HOSPITAL
WIND RIVER NEUROLOGY
WIND RIVER NEUROLOGY
RIVERTON VISION CENTER PC
RIVERTON VISION CENTER PC
RIVERTON VISION CENTER PC
ROCKY MOUNTAIN WOMENS HEALTH
ROCKY MOUNTAIN WOMENS HEALTH
ROCKY MOUNTAIN WOMENS HEALTH
RIVERTON MEMORIAL HOSPITAL
ROCKY MOUNTAIN WOMENS HEALTH
ROCKY MOUNTAIN WOMENS HEALTH
ROCKY MOUNTAIN WOMENS HEALTH
PILOT BUTTE DERMATOLOGY
ADDRESS2
110 MAJOR AVE
2002 W SUNSET DR STE 1
1005 COLLEGE VIEW DR
1005 COLLEGE VIEW DR
2100 W SUNSET
1005 COLLEGE VIEW DR
2100 W SUNSET
1005 COLLEGE VIEW DR
1005 COLLEGE VIEW DR
1025 COLLEGE VIEW DR
1025 COLLEGE VIEW DR
1025 COLLEGE VIEW DR
1025 COLLEGE VIEW DR
2100 W SUNSET
2100 W SUNSET
2100 W SUNSET
2100 W SUNSET
2100 W SUNSET
2100 W SUNSET
2100 W SUNSET
2100 W SUNSET
2100 W SUNSET
2100 W SUNSET
2100 W SUNSET
2100 W SUNSET
2100 W SUNSET
2002 W SUNSET DR STE 2
2002 W SUNSET DR STE 2
107 S BROADWAY #205
511 N 12TH ST E
716 COLLEGE VIEW DR
1005 COLLEGE VIEW DR
1005 COLLEGE VIEW DR
213 W MAIN ST
2100 W SUNSET
1005 COLLEGE VIEW DR
2002 W SUNSET STE 2
1005 COLLEGE VIEW DR
1005 COLLEGE VIEW DR
1005 COLLEGE VIEW DR
2100 W SUNSET
1005 COLLEGE VIEW DR
2100 W SUNSET
2002 W SUNSET STE 2
1005 COLLEGE VIEW DR
2100 W SUNSET
1005 COLLEGE VIEW DR
2100 W SUNSET
1005 COLLEGE VIEW DR
1005 COLLEGE VIEW DR
2100 W SUNSET DR
1005 COLLEGE VIEW DR
2100 W SUNSET
1005 COLLEGE VIEW DR
716 COLLEGE VIEW DR STE A
2100 W SUNSET
1005 COLLEGE VIEW DR
716 COLLEGE VIEW DR STE A
2002 W SUNSET STE 2
2100 W SUNSET
1005 COLLEGE VIEW DR
2002 W SUNSET STE 2
300 N BROADWAY
300 N BROADWAY
300 N BROADWAY
1035 ROSE LN STE A
1005 COLLEGE VIEW DR
1035 ROSE LN STE A
2100 W SUNSET
1005 COLLEGE VIEW DR
1035 ROSE LN STE A
1035 ROSE LN STE A
511 N 12TH STE EB
CITY
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
825012282
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
SPEC
CUMH
FP
CH
PT
PT
PT
IMHP
IMHP
IMHP
IMHP
IMHP
SU
SU
SUNS
SUNS
SUNS
SUNS
EM
EM
EM
EM
EM
EM
EM
EM
EM
EM
EM
EM
EM
OR
OR
CUMH
CUMH
CUMH
PAC
EM
FP
HSP
IM
PO
PO
PO
PO
PO
IM
IM
IM
CCSL
CCSL
IM
IM
IM
FP
FP
OR
OR
IM
PGAP
PGAP
OR
OR
OR
OR
OR
OR
OR
PSNE
PSNE
PSNE
OD
OD
OD
OG
OG
OG
OG
OG
OG
OGOB
DM
SPECIALTY_DESCR
Counselor - Mental Health
Family Practice
Chiropractor
Physical Therapist
Physical Therapist
Physical Therapist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Hospitalist
Surgery
Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Neurological Surgery
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Orthopaedic Surgery
Orthopaedic Surgery
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Physician Assistant
Emergency Medicine
Family Practice
HOSPITAL
Internal Medicine
Podiatrist
Podiatrist
Podiatrist
Podiatrist
Podiatrist
Internal Medicine
Internal Medicine
Internal Medicine
Clinic/Center - Sleep Disorder Diagnostic
Clinic/Center - Sleep Disorder Diagnostic
Internal Medicine
Internal Medicine
Internal Medicine
Family Practice
Family Practice
Orthopaedic Surgery
Orthopaedic Surgery
Internal Medicine
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Psychiatry & Neurology - Neurology
Psychiatry & Neurology - Neurology
Psychiatry & Neurology - Neurology
Optometrist
Optometrist
Optometrist
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology - Obstetrics
Dermatology
Page 35 of 57
LAST_NAME
TUBBS
SCHILLER
BASKO
CLIFFORD
HOLCOMB
HOLCOMB
LARSEN
MAZUR
MCMENAMY
MCMENAMY
ZEISS RANEY
MAGRUDER
MILLER
MILLER
RIDGWAY
WAHEED
WHITE
WHITE
JIMERSON
LEWIS
BENNETT
BENNETT
BENNETT
HANNANEY
HANNANEY
HANNANEY
HANNANEY
HANNANEY
MCLAUGHLIN
MCLAUGHLIN
FISHER
FISHER
IVANOV
NOVICK
PICKRELL
SKAF
WICKS
HOUSE
ALBERTSONS #342
KMART #7107
PLAZA PHARMACY
ROCK SPRINGS IV CTR PHARMACY
SMITH'S FOOD & DRUG #182
WALGREENS #9092
WALMART #1461
LONG
MARTIN
RICE
BEST HOME HEALTH & HOSPICE
BEST HOME HEALTH & HOSPICE
LANE
SCHWAB
BI RITE DRUG
ALLYN
BRADLEY
ETMAN
KATTAN
RICE
WHEELER
YERKOVICH
DONALDSON
JOHNSON
NICKSICH
SCHROEDER
CLOUD
JOUBRAN
KATZ
HUNTER
PEDERSEN
POWELL
SANDERS
GUNTER
ILIYA
OLIVER
HEITZ
KRONER
CROFT
MCKEVITT
MEMORIAL HOSPITAL OF SWEETWATER COUNTY
SUTPHIN
MCINNIS
08/22/2013
FIRST_NAME
VIRGINIA
PHILIP
GRANT
AMY
VIRGINIA
VIRGINIA
BENJAMIN
MICHELLE
JEFFREY
JEFFREY
MARGARET
JOY
MIKE
MIKE
ERIC
MONA
JAMES
JAMES
DOLORES
SANDEE
CHARLES
CHARLES
CHARLES
MARYANNE
MARYANNE
MARYANNE
MARYANNE
MARYANNE
RHONDA
RHONDA
MICHAEL
MICHAEL
OLEG
ROBERT
JOHN
MICHEL
ALLAN
JULIE
TITLE
MARIA
DAREN
CRAIG
CYNTHIA
JARED
PETER
LOUANNA
AMR
SAMER
VANESSA
JEFFREY
STARLA
TERRY
JILL
PAUL
RENEE
JEFFREY
RAOUL
KENT
KURT
DANIEL
DYLAN
MARK
JEFFREY
JOHN
JOSEPH
LAURA
LUDWIG
STEVEN
DENNIS
MICHAEL
MICHAEL
MD
PHONE
8776890005
3078560382
3078577074
3078577074
3078577074
3078577074
3078577074
3078577074
3078577074
3078577074
3078577074
3078566591
3078564161
3078566591
3078566591
3078566591
3078564161
3078575218
3078576685
3078576685
3078564161
3078575247
3078575247
3078564161
3078575247
3078575247
3078575247
3078575247
3078575247
3078575247
3078564161
3078575247
3074637160
3074637160
3074637160
3074637160
3074637160
3078573111
3073629734
3073627990
3073621007
3073823544
3073621841
3073822536
3073621967
3073823228
3073823228
3073823228
(307) 789 2899
3077892899
3073823058
3073626691
(307) 362 1861
(307) 362 1861
(307) 362 1861
(307) 362 1861
(307) 362 1861
(307) 362 1861
(307) 362 1861
3073620707
3073823010
3073823010
3073823010
(307) 265 1792
(307) 265 1792
(307) 265 1792
(307) 382 7414
(307) 382 7733
(307) 382 7733
3073827733
3073829316
(307) 382 8644
(307) 362 7745
(307) 382 2080
3073825646
3073623711
(307) 362 3711
3073624200
(307) 382 5900
CLINIC NAME
SOUTH VALLEY DERMATOLOGY
Stephen Rotholz MD PC
Teton Therapy PC
Teton Therapy PC
Teton Therapy PC
Teton Therapy PC
Teton Therapy PC
Teton Therapy PC
Teton Therapy PC
Teton Therapy PC
Teton Therapy PC
WESTERN FAMILY CARE
WESTERN FAMILY CARE
WESTERN FAMILY CARE
WESTERN FAMILY CARE
WESTERN FAMILY CARE
Wind River Clinic
Wind River Clinic
Wind River Health System
Wind River Health System
WIND RIVER OB AND GYN
WIND RIVER OB AND GYN
WIND RIVER OB AND GYN
WIND RIVER OB AND GYN
WIND RIVER OB AND GYN
WIND RIVER OB AND GYN
WIND RIVER OB AND GYN
WIND RIVER OB AND GYN
WIND RIVER OB AND GYN
WIND RIVER OB AND GYN
WIND RIVER PEDIATRICS LLC
WIND RIVER PEDIATRICS LLC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
Wyoming Cardiopulmonary Services PC
WYOMING COUNSELING SERVICES PC
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
Alliance Physical Therapy
Alliance Physical Therapy
Alliance Physical Therapy
BEST HOME HEALTH & HOSPICE
BEST HOME HEALTH & HOSPICE
BETTER SOLUTIONS COUNSELING CENTER
BETTER SOLUTIONS COUNSELING CENTER
Bi Rite Drug
COLLEGE HILL WOMEN'S HEALTH CLINIC
COLLEGE HILL WOMEN'S HEALTH CLINIC
COLLEGE HILL WOMEN'S HEALTH CLINIC
COLLEGE HILL WOMEN'S HEALTH CLINIC
COLLEGE HILL WOMEN'S HEALTH CLINIC
COLLEGE HILL WOMEN'S HEALTH CLINIC
COLLEGE HILL WOMEN'S HEALTH CLINIC
Donaldson Medical Clinic
FAMILY DYNAMICS COUNSELING, INC.
FAMILY DYNAMICS COUNSELING, INC.
FAMILY DYNAMICS COUNSELING, INC.
GASTROENTEROLOGY ASSOCIATES, PC
GASTROENTEROLOGY ASSOCIATES, PC
GASTROENTEROLOGY ASSOCIATES, PC
HUNTER FAMILY MEDICAL CLINIC
HUNTER FAMILY MEDICAL CLINIC
HUNTER FAMILY MEDICAL CLINIC
HUNTER FAMILY MEDICAL CLINIC
JEFFREY GUNTER M.D.
JOHN ILIYA M.D.
JOSEPH J OLIVER MD PC
LAURA J HEITZ NP
LUDWIG F KRONER III MD
MEMORIAL HOSPITAL OF SWEETWATER COUNTY
MEMORIAL HOSPITAL OF SWEETWATER COUNTY
MEMORIAL HOSPITAL OF SWEETWATER COUNTY
MICHAEL D SUTPHIN MD
MICHAEL J. MCINNIS M.D.
ADDRESS1
PILOT BUTTE DERMATOLOGY
ROCKY MOUNTAIN WOMENS HEALTH
TETON THERAPY PC
TETON THERAPY PC
TETON THERAPY PC
TETON THERAPY PC
TETON THERAPY PC
TETON THERAPY PC
TETON THERAPY PC
TETON THERAPY PC
TETON THERAPY PC
WESTERN FAMILY CARE
RIVERTON MEMORIAL HOSPITAL
WESTERN FAMILY CARE
WESTERN FAMILY CARE
WESTERN FAMILY CARE
RIVERTON MEMORIAL HOSPITAL
WIND RIVER CLINIC
RIVERTON COMMUNITY HEALTH
RIVERTON COMMUNITY HEALTH
RIVERTON MEMORIAL HOSPITAL
WIND RIVER OBSTETRICS & GYNECOLOGY LLC
WIND RIVER OBSTETRICS & GYNECOLOGY LLC
RIVERTON MEMORIAL HOSPITAL
RIVERTON MEMORIAL OUTPATIENT
WIND RIVER OBSTETRICS & GYNECOLOGY LLC
WIND RIVER OBSTETRICS & GYNECOLOGY LLC
WIND RIVER OBSTETRICS & GYNECOLOGY LLC
WIND RIVER OBSTETRICS & GYNECOLOGY LLC
WIND RIVER OBSTETRICS & GYNECOLOGY LLC
RIVERTON MEMORIAL HOSPITAL
WIND RIVER PEDIATRICS
FREMONT COMMUNITY HEALTH CENTER
FREMONT COMMUNITY HEALTH CENTER
FREMONT COMMUNITY HEALTH CENTER
FREMONT COMMUNITY HEALTH CENTER
FREMONT COMMUNITY HEALTH CENTER
WYOMING COUNSELING SERVICES
1323 DEWAR ST
2450 FOOTHILL BLVD
1411 DEWAR DR
400 2ND ST STE A1
2531 FOOTHILL BLVD
70 GATEWAY BLVD
201 GATEWAY BLVD
ALLIANCE PHYSICAL THERAPY
ALLIANCE PHYSICAL THERAPY
ALLIANCE PHYSICAL THERAPY
1363 DEWAR DR
1363 DEWAR DR
2001 DEWAR DR STE 270
2001 DEWAR DR STE 270
BI RITE DRUG
3000 COLLEGE DR STE A
3000 COLLEGE HILL DR STE A
3000 COLLEGE DR STE A
3000 COLLEGE DR STE A
3000 COLLEGE DR STE A
COLLEGE HILL WOMEN'S HEALTH CLINIC
3000 COLLEGE DR STE A
DONALDSON MEDICAL CLINIC
FAMILY DYNAMICS COUNSELING INC
FAMILY DYNAMICS COUNSELING INC
FAMILY DYNAMICS COUNSELING INC
2761 COMMERCIAL WAY
2761 COMMERCIAL WAY
2761 COMMERCIAL WAY
2751 COMMERCIAL WAY
2751 COMMERCIAL WAY
2751 COMMERCIAL WAY
2751 COMMERCIAL WAY
2820 FOOTHILL BLVD STE A
1208 HILLTOP DR #105
1204 HILLTOP DR STE 103
2620 COMMERCIAL WAY STE 051
1204 HILLTOP STE 102
1204 HILLTOP DR
P O BOX 1359
1200 COLLEGE DRIVE
1208 HILLTOP #204
430 BROADWAY
ADDRESS2
511 N 12TH STE EB
1035 ROSE LN STE A
820 W MAIN ST
820 W MAIN ST
1130 E MONROE AVE
820 W MAIN ST
820 W MAIN ST
820 W MAIN ST
1130 E MONROE AVE
820 W MAIN ST
820 W MAIN ST
1620 RIVERVIEW RD
2100 W SUNSET
1620 RIVERVIEW RD
1620 RIVERVIEW RD
1620 RIVERVIEW RD
2100 W SUNSET
1005 COLLEGE VIEW DR
511 N 12TH ST E
511 N 12TH ST E
2100 W SUNSET
1005 COLLEGE VIEW DR
1035 ROSE LN STE C
2100 W SUNSET
1500 SUNSET BLVD
1005 COLLEGE VIEW DR
1035 ROSE LN STE C
2300 GASSER RD
1005 COLLEGE VIEW DR
1035 ROSE LN STE C
2100 W SUNSET
1005 COLLEGE VIEW DR
511 N 12TH ST E STE A
511 N 12TH ST E STE A
511 N 12TH ST E STE A
511 N 12TH ST E STE A
511 N 12TH ST E STE A
902 N 8TH W
1977 DEWER DR STE J
1977 DEWER DR STE J
1977 DEWER DR STE J
409 BROADWAY
3000 COLLEGE DR STE A
1577 DEWAR DR STE 8
4000 DEWAR DR
4000 DEWAR DR
4000 DEWAR DR
CITY
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
RIVERTON
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82501
82901
82901
82901
82901
82901
82901
82901
82901
82901
82901
82901
82901
82901
82901
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82901
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82901
82901
82901
82901
82901
82901
82901
82901
82901
82901
82901
82902
82902
82901
82901
SPEC
DM
OG
OT
PT
OT
OT
PT
OT
OT
OT
PT
FP
FP
FP
FP
FP
SU
SU
CUMH
FP
OG
OG
OG
OG
OG
OG
OG
OG
OG
OG
PD
PD
IMCI
IMCI
IMCI
IMCI
IMCI
CUMH
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PT
PT
PT
HSCB
HHA
CUMH
CUMH
DE
OG
NP
OG
OG
FP
OG
NP
IM
CUMH
CUMH
CUMH
IMGI
IMGI
IMGI
FP
PAC
PAC
EM
DM
SU
OR
NP
OR
AN
IM
HSP
SUUR
FP
SPECIALTY_DESCR
Dermatology
Obstetrics & Gynecology
Occupational Therapist
Physical Therapist
Occupational Therapist
Occupational Therapist
Physical Therapist
Occupational Therapist
Occupational Therapist
Occupational Therapist
Physical Therapist
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Surgery
Surgery
Counselor - Mental Health
Family Practice
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Pediatrics
Pediatrics
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Internal Medicine - Interventional Cardiology
Counselor - Mental Health
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Physical Therapist
Physical Therapist
Physical Therapist
Hospice Care, Community Based
HOME HEALTH AGENCY
Counselor - Mental Health
Counselor - Mental Health
Durable Medical Equipment & Medical Supplies
Obstetrics & Gynecology
Nurse Practitioner
Obstetrics & Gynecology
Obstetrics & Gynecology
Family Practice
Obstetrics & Gynecology
Nurse Practitioner
Internal Medicine
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Internal Medicine - Gastroenterology
Internal Medicine - Gastroenterology
Internal Medicine - Gastroenterology
Family Practice
Physician Assistant
Physician Assistant
Emergency Medicine
Dermatology
Surgery
Orthopaedic Surgery
Nurse Practitioner
Orthopaedic Surgery
Anesthesiology
Internal Medicine
HOSPITAL
Urology
Family Practice
Page 36 of 57
LAST_NAME
MEYER
CHILD
NEW FRONTIER IMAGING
BYARS
BECK
SHAY
SHAY
BEASLEY
BENDER
CULLISON
HILL
KAIRAM
KAMALU
KHAWAJA
KRAMER
LINSCOTT
LOTSTEIN
PRESCOTT
RODDY
SCHAMBAN
STEPHENS
WALLACE
WALSH
QUICKENDEN
RAMSEY
RAMSEY EYE CARE CENTER
ANDERSON
SAID
TURNER
FORD
POYER
ROCK SPRINGS IV CENTER
SULENTICH
BRANN
BRANN
FORSHA
FORSHA
TUBBS
DORE
HAIGLER
MICHAEL
MACK
NEAL
DUCKWITZ
ASPER
BABCOCK
BOYLE
CALDWELL
CROFTS
DONALDSON
DUCK
DUPREE
FONTANILLA
FRANKS
JAMIAS
MACK
MAJEED
MCKENZIE
MOSER
MURITHI
MUTHURI
NEUPANE
OLSON
VICENCIO
WAKIM
YESHLUR
SWEETWATER SURGERY CENTER
BRANN
MARTINCHICK
TURNER
YOUNG AT HEART HOME HEALTH CARE
VALLEY PHARMACY
BARTHOLOMEW
GUY
JOHNSTON
BLAZZARD
BARTHOLOMEW
HOOPES
OILER
SHEILS
ALBERTSONS #832
08/22/2013
FIRST_NAME
ERIC
DOUGLAS
JAMES
JOSHUA
JED
JED
BENJAMIN
SEAN
BRIAN
DOUGLAS
VIJAY
LAYNE
WASEEM
MICHAEL
M. SCOTT
ROBERT
STACY
JONATHAN
NEIL
MICHAEL
STEPHEN
THOMAS
TY
COBY
TITLE
MD
MD
MD
MD
RICHARD
JONATHAN
LORRI
MICHAEL
MELINDA
SCOTT
WILLIAM
WILLIAM
DOUGLASS
DOUGLASS
VIRGINIA
CHARLOTTE
THOMAS
CHARLES
BRANDON
MARY
DAVID
NEAL
STEVEN
JUDITH
NICOLE
BRIANNE
TERRY
SIGSBEE
STEPHANIE
RYAN
CHAD
AUGUSTO
BRANDON
MOHAMMED
KERRY
CHRIS
ROBERT
LEAH
PRITAM
AMY
RACHELLE
JAD
CHANDRASHEKA
(307) 382 3544
3073628211
3073623711
(801) 569 1456
8776890005
8776890005
3073526677
3073526689
3073526677
(307) 212 9472
3077345999
(307) 362 9545
DO
(307) 352 8192
(307) 362 3711
MD
(307) 352 8192
MD
(307) 352 8192
(307) 362 3711
(307) 352 8125
(307) 362 3711
3073623711
(307) 362 3711
(307) 362 3711
(307) 362 3711
(307) 352 8125
MD
MD
WILLIAM
JAMES
DARCY
TONYA
JEAN
JANE
JACOB
DEAN
RONALD
JENNIFER
EDWIN
PHONE
3073526873
(307) 382 4282
3073824282
(307) 362 2020
8003591335
3072126270
3072126270
3073623711
3073623711
3073623711
3073623711
3073623711
(307) 362 3711
3073623711
3073623711
(781) 280 1695
(781) 280 1695
3073623711
(307) 362 3711
3073623711
(307) 362 3711
3073623711
3073623711
3073627900
3073823753
3073823753
3073823064
(307) 382 3064
3073823064
8003591335
PT
(307) 352 8192
3073623711
(307) 362 3711
(307) 352 8192
3073625500
(307) 382 6873
8013504470
3073623711
(307) 382 3064
3073521283
3073265129
3073268111
(307) 326 8111
3073268111
(307) 326 8381
(307) 326 8381
3073268381
(307) 326 8381
(307) 326 8381
3076728908
CLINIC NAME
Mountain View Regional Hospital
NEW FRONTIER IMAGING LLC
NEW FRONTIER IMAGING LLC
OPTIQUE 20/20 INC-ROCK SPRINGS
Orthopaedics of Jackson Hole
PCA CARE ASSOCIATES OF WY
PCA CARE ASSOCIATES OF WY
PEGASUS EMERGENCY GROUP WYOMING, LLC
PEGASUS EMERGENCY GROUP WYOMING, LLC
PEGASUS EMERGENCY GROUP WYOMING, LLC
PEGASUS EMERGENCY GROUP WYOMING, LLC
PEGASUS EMERGENCY GROUP WYOMING, LLC
PEGASUS EMERGENCY GROUP WYOMING, LLC
PEGASUS EMERGENCY GROUP WYOMING, LLC
PEGASUS EMERGENCY GROUP WYOMING, LLC
PEGASUS EMERGENCY GROUP WYOMING, LLC
PEGASUS EMERGENCY GROUP WYOMING, LLC
PEGASUS EMERGENCY GROUP WYOMING, LLC
PEGASUS EMERGENCY GROUP WYOMING, LLC
PEGASUS EMERGENCY GROUP WYOMING, LLC
PEGASUS EMERGENCY GROUP WYOMING, LLC
PEGASUS EMERGENCY GROUP WYOMING, LLC
PEGASUS EMERGENCY GROUP WYOMING, LLC
QUICKENDEN CHIROPRACTIC CLINIC
RAMSEY EYE CARE CENTER
RAMSEY EYE CARE CENTER
RED DESERT INSTA-CARE
RED DESERT INSTA-CARE
RED DESERT INSTA-CARE
Riverton Physician Practices
ROCK SPRINGS FAMILY PRACTICE
ROCK SPRINGS IV CENTER
ROCK SPRINGS PLASTIC SURGERY
Salt Lake Regional Cardiovascular Center
Salt Lake Regional Cardiovascular Center
SOUTH VALLEY DERMATOLOGY
SOUTH VALLEY DERMATOLOGY
SOUTH VALLEY DERMATOLOGY
SOUTHWEST COUNSELING SERVICE
SOUTHWEST COUNSELING SERVICE
SOUTHWEST COUNSELING SERVICE
SOUTHWEST PAIN MANAGEMENT
SPINE CARE OF JACKSON HOLE
SWEETWATER FOOT CA
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER MEDICAL GROUP
SWEETWATER PEDIATRICS PC
SWEETWATER SURGERY
WESTERN WYOMING NEUROLOGY
WYOMING PATHOLOGY INC.
WYOMING RANGE MEDICAL PC
Young At Heart Home Health Care
ADVANCEPCS
LOCAL THERAPY LLC
LOCAL THERAPY LLC
LOCAL THERAPY LLC
PLATTE VALLEY MEDICAL CLINIC
PLATTE VALLEY MEDICAL CLINIC, PC
PLATTE VALLEY MEDICAL CLINIC, PC
PLATTE VALLEY MEDICAL CLINIC, PC
PLATTE VALLEY MEDICAL CLINIC, PC
ADVANCEPCS
ADDRESS1
SWEETWATER SURGERY CENTER LLC
2620 COMMERCIAL WAY STE 10
PO BOX 2148
2001 DEWAR DR STE 160
TETON ORTHOPAEDICS
PAIN CARE ASSOCIATES OF WYOMING LLC
PCA PAIN CARE CENTER
1200 COLLEGE DR
1200 COLLEGE DR
1200 COLLEGE DR
1200 COLLEGE DR
1200 COLLEGE DR
PEGASUS EMERGENCY GROUP WYOMING, LLC
1200 COLLEGE DR
1200 COLLEGE DR
PEGASUS EMERGENCY GROUP WYOMING, LLC
PEGASUS EMERGENCY GROUP WYOMING, LLC
1200 COLLEGE DR
1200 COLLEGE DR
1200 COLLEGE DR
1200 COLLEGE DR
1200 COLLEGE DR
1200 COLLEGE DR
2632 FOOTHILL BLVD STE 107
2624 COMMERCIAL WAY STE B
3000 COLLEGE DR STE B
2761 COMMERCIAL WAY
2761 COMMERCIAL WAY
2761 COMMERCIAL WAY
WIND RIVER ORTHOPAEDICS
1208 HILLTOP DR STE 102
400 2ND ST STE A-1
ROCK SPRINGS PLASTIC SURGERY
CARDIOVASCULAR ROCK SPRING
MEMORIAL HOSPITAL OF SWEETWATER COUNTY
3000 COLLEGE DR STE A
PILOT BUTTE DERMATOLOGY
PILOT BUTTE DERMATOLOGY
2300 FOOTHILL BLVD
2706 ANKENY WAY
2300 FOOTHILL BLVD
SOUTHWEST PAIN MANAGEMENT
SPINE CARE OF JACKSON
2631 FOOTHILL BLVD
1204 HILLTOP DR STE 108
1204 HILLTOP DR STE 109
1204 HILLTOP DR
1204 HILLTOP DR STE 108
1204 HILLTOP DR STE 109
1204 HILLTOP DR STE 108
1204 HILLTOP DR
1204 HILLTOP DR STE108
1204 HILLTOP DR
1204 HILLTOP DR STE 108
1204 HILLTOP DR
1204 HILLTOP DR
1204 HILLTOP DR STE 108
1402 HILLTOP DR
1204 HILLTOP DR
1204 HILLTOP DR STE 108
1204 HILLTOP DR STE 108
1204 HILLTOP DR STE 109
1204 HILLTOP DR
1204 HILLTOP DR
1204 HILLTOP DR STE 109
SWEETWATER PEDIATRICS PC
2761 COMMERCIAL WAY
2751 COMMERCIAL WAY
MEMORIAL HOSPITAL OF SWEETWATER COUNTY
2761 COMMERCIAL WAY
YOUNG AT HEART HOME HEALTH CARE
1504 S 1ST ST
1210 S RIVER
1210 S RIVER ST
1210 S RIVER ST
1208 S RIVER ST
1208 SOUTH RIVER ST.
1208 S RIVER ST
1208 S RIVER ST
1208 S RIVER ST
1865 COFFEEN AVE
ADDRESS2
2761 COMMERCIAL WAY
2761 COMMERCIAL WAY
1575 DEWAR DR STE 430
1208 HILLTOP DR STE 101
1200 COLLEGE DR.
1200 COLLEGE DR.
1200 COLLEGE DR.
2761 COMMERCIAL WAY
1208 HILLTOP STE 103
2751 COMMERICAL WAY
1200 COLLEGE DR
1453 DEWAR DR STE A
430 BROADWAY
1200 COLLEGE DR
2761 COMMERCIAL WAY
1204 HILLTOP DR STE #106
1200 COLLEGE DR
538 PILOT BUTTE AVE
CITY
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
ROCK SPRINGS
SARATOGA
SARATOGA
SARATOGA
SARATOGA
SARATOGA
SARATOGA
SARATOGA
SARATOGA
SARATOGA
SHERIDAN
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82901
829014755
82902
82901
82901
82901
82901
82901
829015868
829015868
829015868
829015868
82901
829015868
829015868
82901
82901
829015868
829015868
829015868
829015868
829015868
829015868
829014757
82901
82901
82901
82901
82901
82901
82901
82901
82901
82901
82901
82901
82901
82901
82901
82901
82901
829015868
82901
82901
829015878
82901
82901
829015878
82901
829015878
82901
829015878
82901
82901
82901
82901
82901
82901
82901
829015878
829015878
82901
82901
82901
82901
82901
82901
82901
82901
82901
82901
82331
82331
82331
82331
82331
82331
82331
82331
82331
82801
SPEC
AN
RADR
RADR
OD
OR
PNMG
PNMG
EM
EM
EM
EM
EM
FP
IM
EM
EM
EM
EM
EM
EM
EM
EM
EM
CH
OD
TTOT
PAC
PAC
NPFA
OR
FP
CCIF
SURE
IMCV
IMCV
DM
DM
DM
CUMH
PAC
CUMH
AN
OR
PO
AN
FP
IM
IM
SU
IM
OLAL
NP
PSPS
SU
SU
AN
IM
PAC
FP
IM
IM
IM
CUMH
PD
IM
PD
ASC
IM
PGAP
FP
HOHE
PHY
OT
PT
SPSP
PAC
FP
CUMH
NP
PAC
PHY
SPECIALTY_DESCR
Anesthesiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Optometrist
Orthopaedic Surgery
Pain Medicine - Pain Management
Pain Medicine - Pain Management
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Family Practice
Internal Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Chiropractor
Optometrist
Technician/Technologist - Optician
Physician Assistant
Physician Assistant
Nurse Practitioner - Family
Orthopaedic Surgery
Family Practice
Clinic/Center - Infusion Therapy
Surgery - Plastic and Reconstructive Surgery
Internal Medicine - Cardiovascular Disease
Internal Medicine - Cardiovascular Disease
Dermatology
Dermatology
Dermatology
Counselor - Mental Health
Physician Assistant
Counselor - Mental Health
Anesthesiology
Orthopaedic Surgery
Podiatrist
Anesthesiology
Family Practice
Internal Medicine
Internal Medicine
Surgery
Internal Medicine
Otolaryngology - Otolaryngic Allergy
Nurse Practitioner
Psychiatry & Neurology - Psychiatry
Surgery
Surgery
Anesthesiology
Internal Medicine
Physician Assistant
Family Practice
Internal Medicine
Internal Medicine
Internal Medicine
Counselor - Mental Health
Pediatrics
Internal Medicine
Pediatrics
Internal Medicine
Pathology - Anatomic Pathology
Family Practice
Home Health
Pharmacy
Occupational Therapist
Physical Therapist
Physician Assistant
Family Practice
Counselor - Mental Health
Nurse Practitioner
Physician Assistant
Pharmacy
Page 37 of 57
LAST_NAME
HOSP PHARMACY UNITED DRUGS
KMART #9074
LAYA'S MAIN STREET PHARMACY
SHERIDAN PHARMACY
WALGREENS #9547
WALMART #1508
SIDHU
BARRETT
BRENNAN
CALDWELL
FERRIES
GARCIA
GARCIA
GARCIA
GILBERT
GILBERT
GOULD
GRASLIE
GREEN
GREEN
HUNTER
HUNTER
JOST
JOST
JOST
MANGUS
MARTIN
MARTIN
MCDOWELL
OTTO
OTTO
PEARSON
PEARSON
SHARP
SHARP
SICKEL
SMITH
SMITH
STRAHAN
STRAHAN
VARNER
VARNER
WALTER
WALTER
WOOD
ALZHEIMER
ALZHEIMER
WHITE
WHITE
FRANCISCO
ROBERTS
HOLST
GADDY
MCGUIRE
SANTALA
THOMETZ
TROSTEL
WHITTENBERGER
WHITTENBERGER
BROWN
JOHNSON
MAYER
WILSON
WILSON
EBIA HEARING INSTRUMENTS
BOWERS
BOWERS
MULLINAX
STONE SOUKUP
STONE SOUKUP
ADDLESPERGER
HOSPICE OF THE BIG HORNS
HOSPITAL HOMECARE
KHAWAJA
LETTS
LIEB
MARINO
RABON
ROBINSON
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
SMITH
08/22/2013
FIRST_NAME
ANUP
AUTUMN
MICHAEL
NICOLE
LAURA
JOSEPH
JOSEPH
JOSEPH
DEREK
KIMBERLEE
WALTER
JENNIFER
CHRISTY
CHRISTY
IAN
IAN
COREY
COREY
COREY
BARRY
MELANIE
MELANIE
JUDITH
JASON
JASON
DAVID
DAVID
CINDY
CINDY
KENNETH
SARA
SARA
MICHAEL
MICHAEL
CHERYL
CHERYL
MARK
MARK
WENDY
DANIEL
DANIEL
JASON
JASON
PATRICIA
SUSAN
STEPHEN
MARY
HEATHER
ROGER
ALAN
KENDRICK
BROCK
BROCK
CHRISTOPHER
DEBORAH
THOMAS
EDWARD
EDWARD
MARY
MARY
DEBORAH
LINDA
LINDA
JOHN
TITLE
PHONE
3076722426
3076721810
3076723741
3076733188
3076741936
3076747417
(307) 673 4389
3076752650
3076754610
3076752649
3076752659
3076754610
3076752650
3076721000
3076752649
3076752650
3076733181
3076754610
3076754646
3076721000
3076752650
3076721000
3076752649
3076733181
3076721000
3076733181
3076752650
3076721000
3076746166
3076752650
3076721000
3076752650
3076754630
3076752650
3076721000
3076746166
3076752649
3076733181
3076752650
3076721000
3076754646
3076721000
3076752650
3076754630
3076733181
3076721000
3076746884
3076721000
3076746884
3076735501
3076735501
3076721806
8003251774
3076721000
3076722941
8003251774
3076721000
8003251774
3076722941
3076744633
3076744633
3076736300
3076720773
3076720773
3076748920
3076727700
3076721000
3076727700
3077502546
3076558289
3076721000
3076721000
WASEEM
DAVID
JACOB
GREGORY
STEVE
IRVING
SARA
3076721000
3076721000
3076721000
(307) 672 1000
3076721000
CLINIC NAME
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ANUP S. SIDHU M.D.
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
BIG HORN HEALTH NETWORK
Big Horn Radiology
Big Horn Radiology
Big Horn Radiology
Big Horn Radiology
BIG HORN URGENT CARE LLC
BIG HORN URGENT CARE LLC
BIG HORN UROLOGY
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
Christopher C Brown MD
Christopher C Brown MD
Cloud Peak Sleep Specialist LLC
Coffeen Clinic
Coffeen Clinic
Ebia Hearing Instruments LLC
GOOSE CREEK PEDIATRICS
GOOSE CREEK PEDIATRICS
GOOSE CREEK PEDIATRICS
Healthy Lifestyles Clinic
Healthy Lifestyles Clinic
MEMORIAL HOSPITAL OF SHERIDAN
MEMORIAL HOSPITAL OF SHERIDAN
MEMORIAL HOSPITAL OF SHERIDAN
MEMORIAL HOSPITAL OF SHERIDAN
MEMORIAL HOSPITAL OF SHERIDAN
MEMORIAL HOSPITAL OF SHERIDAN
MEMORIAL HOSPITAL OF SHERIDAN
MEMORIAL HOSPITAL OF SHERIDAN
MEMORIAL HOSPITAL OF SHERIDAN
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
Memorial Hospital of Sheridan County
ADDRESS1
1 S MAIN ST
2571 N BUSINESS 90
555 N MAIN ST
1333 W 5TH ST STE 107
1766 COFFEEN AVE
1695 COFFEEN AVE
1456 W 5TH ST
BIG HORN MOUNTAIN MEDICINE
BIG HORN HEART CENTER
BIG HORN HEALTH NETWORK LLC
BIG HORN MOUNTAIN MEDICINE
BIG HORN HEART CENTER
BIG HORN MOUNTAIN MEDICINE
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
BIG HORN HEALTH NETWORK LLC
BIG HORN MOUNTAIN MEDICINE
BIG HORN SURGICAL
BIG HORN HEART CENTER
BIG HORN EAR NOSE AND THROAT
SHERIDAN MEMORIAL HOSPITAL
BIG HORN MOUNTAIN MEDICINE
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
BIG HORN HEALTH NETWORK LLC
BIG HORN SURGICAL
SHERIDAN MEMORIAL HOSPITAL
BIG HORN SURGICAL
BIG HORN MOUNTAIN MEDICINE
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
SOLDIER CREEK MEDICAL
BIG HORN MOUNTAIN MEDICINE
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
BIG HORN MOUNTAIN MEDICINE
SHERIDAN PSYCHIATRY
BIG HORN MOUNTAIN MEDICINE
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
SOLDIER CREEK MEDICAL
BIG HORN HEALTH NETWORK LLC
BIG HORN SURGICAL
BIG HORN MOUNTAIN MEDICINE
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
BIG HORN EAR NOSE AND THROAT
SHERIDAN MEMORIAL HOSPITAL
BIG HORN MOUNTAIN MEDICINE
SHERIDAN PSYCHIATRY
BIG HORN SURGICAL
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
BIG HORN RADIOLOGY
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
BIG HORN RADIOLOGY
813 HIGHLAND AVE
813 HIGHLAND AVE
BIG HORN UROLOGY
BILLINGS CLINIC
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
BILLINGS CLINIC
BILLINGS CLINIC
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
BILLINGS CLINIC
BILLINGS CLINIC
CHRISTOPHER C BROWN MD
CHRISTOPHER C BROWN MD
CLOUD PEAK SLEEP SPECIALIST LLC
COFFEEN CLINIC
COFFEEN CLINIC
EBIA HEARING INSTRUMENTS
GOOSE CREEK PEDIATRICS
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
GOOSE CREEK PEDIATRICS
HEALTHY LIFESTYLES CLINIC
HEALTHY LIFESTYLES CLINIC
1401 W 5TH ST
HOSPICE OF THE BIG HORNS
HOSPITAL HOMECARE
1401 W 5TH ST
1401 W 5TH ST
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
1401 W 5TH ST
1401 W 5TH ST
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
ADDRESS2
1435 BURTON
1333 W 5TH ST STE 206
1435 BURTON ST
1050 MYDLAND RD
1333 W 5TH ST STE 206
1435 BURTON
1401 W FIFTH AVE
1435 BURTON ST
1435 BURTON
1333 W 5TH ST STE 200
1333 W 5TH ST STE 206
1416 W 5TH ST
1401 W 5TH ST
1435 BURTON
1401 W FIFTH AVE
1435 BURTON ST
1333 W 5TH ST STE 200
1401 W 5TH ST
1333 W 5TH ST STE 200
1435 BURTON
1401 W FIFTH AVE
1262 W 5TH ST
1435 BURTON
1401 W FIFTH AVE
1435 BURTON
944 JACKSON
1435 BURTON
1401 W FIFTH AVE
1262 W 5TH ST
1435 BURTON ST
1333 W 5TH ST STE 200
1435 BURTON
1401 W FIFTH AVE
1416 W 5TH ST
1401 W 5TH ST
1435 BURTON
944 JACKSON
1333 W 5TH ST STE 200
1401 W FIFTH AVE
1401 W 5TH ST STE 314
1401 W FIFTH AVE
1401 W 5TH ST STE 314
340 W DOW ST
1401 W 5TH ST
1401 W FIFTH AVE
30 S SCOTT
1401 W 5TH ST
1401 W FIFTH AVE
1401 W 5TH ST
30 S SCOTT
1458 WEST 5TH ST
1458 WEST 5TH ST
1050 MYDLAND RD
1955 COFFEEN AVE
304 COFFEEN AVE
1949 SUGARLAND DR STE 252
1701 W 5TH ST STE A
1401 W FIFTH AVE
1701 W 5TH ST STE A
390 LOWER PRAIRIE DOG RD
532 VAL VISTA ST STE 104
1401 W FIFTH AVE
1401 W FIFTH AVE
1401 W FIFTH AVE
1401 W FIFTH AVE
1401 W FIFTH AVE
1401 W FIFTH AVE
CITY
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82801
82801
82801
82801
828015710
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
SPEC
PHY
PHY
PHY
PHY
PHY
PHY
PSPS
IM
IMCI
IM
IMEN
IMCV
IMCV
IMCV
IM
IM
SU
IMCI
OL
OL
IM
IM
SU
SU
SU
SU
IM
IM
IM
IM
IM
CUMH
CUMH
IM
IM
FP
SU
SU
IM
IM
OL
OL
PSPS
PSPS
SU
RADR
RADR
RADR
RADR
PAC
FP
SUUR
PSNE
IM
IMHO
IMEP
IMKD
IMHO
IMHO
IM
IM
CCSL
FP
FP
DEAU
PD
PD
PD
FP
FP
FP
HSCB
HOHE
IM
FP
EM
IMHE
PO
FP
HSP
SU
SPECIALTY_DESCR
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Psychiatry & Neurology - Psychiatry
Internal Medicine
Internal Medicine - Interventional Cardiology
Internal Medicine
Internal Medicine - Endocrinology, Diabetes & Metabolism
Internal Medicine - Cardiovascular Disease
Internal Medicine - Cardiovascular Disease
Internal Medicine - Cardiovascular Disease
Internal Medicine
Internal Medicine
Surgery
Internal Medicine - Interventional Cardiology
Otolaryngology
Otolaryngology
Internal Medicine
Internal Medicine
Surgery
Surgery
Surgery
Surgery
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Counselor - Mental Health
Counselor - Mental Health
Internal Medicine
Internal Medicine
Family Practice
Surgery
Surgery
Internal Medicine
Internal Medicine
Otolaryngology
Otolaryngology
Psychiatry & Neurology - Psychiatry
Psychiatry & Neurology - Psychiatry
Surgery
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Physician Assistant
Family Practice
Urology
Psychiatry & Neurology - Neurology
Internal Medicine
Internal Medicine - Hematology & Oncology
Internal Medicine - Clinical Cardiac Electrophysiology
Internal Medicine - Nephrology
Internal Medicine - Hematology & Oncology
Internal Medicine - Hematology & Oncology
Internal Medicine
Internal Medicine
Clinic/Center - Sleep Disorder Diagnostic
Family Practice
Family Practice
Hearing Aid Equipment
Pediatrics
Pediatrics
Pediatrics
Family Practice
Family Practice
Family Practice
Hospice Care, Community Based
Home Health
Internal Medicine
Family Practice
Emergency Medicine
Internal Medicine - Hematology
Podiatrist
Family Practice
HOSPITAL
Surgery
Page 38 of 57
LAST_NAME
BENNETT
BENNETT
PHINNEY
PHINNEY
PHINNEY
PHINNEY
SCHUBERT
MEYER
HERRING
HORSLEY
OSS
OSS
WOHL
WOHL
WOHL
EMERY
SCHMIDT
SCHNEIDER
SCHNEIDER
ANDERSON
ANDERSON
ANDERSON
BAILEY
BAILEY
BAILEY
BELL
BELL
BELL
BOONE
BOONE
BOONE
ELLIOTT
ELLIOTT
ELLIOTT
PASTORE WATKINS
PASTORE WATKINS
PASTORE WATKINS
PHELON
PHELON
PHELON
RICE
RICE
RICE
SOLYST
SOLYST
SOLYST
TERRY
TERRY
TERRY
VAN NORMAN
VAN NORMAN
VAN NORMAN
WHITE
WHITE
WHITE
WINTER
WINTER
DUNN
HERRING
ROBBINS
HANNA
HANNA
BATEMAN
BATEMAN
DAHL
FEHLAUER
HOFFMANN
MILLER
MAYER
MAYER
FERRIES
FERRIES
LAMAN
LAMAN
MILNER
MILNER
MOREY
QUINN
QUINN
RABON
RABON
08/22/2013
FIRST_NAME
MICHELE
MICHELE
CHEYRL
CHEYRL
CHEYRL
CHEYRL
ERIC
ERIC
AMY
MARILYN
SUZANNE
SUZANNE
BARRY
BARRY
BARRY
STEPHEN
FRANK
JOHN
JOHN
JUDEE
JUDEE
JUDEE
CHERYL
CHERYL
CHERYL
ANDI
ANDI
ANDI
DON
DON
DON
SHERI
SHERI
SHERI
CAROL
CAROL
CAROL
HOPE
HOPE
HOPE
LINDA
LINDA
LINDA
JERRY
JERRY
JERRY
THOMAS
THOMAS
THOMAS
RITA
RITA
RITA
JENNIFER
JENNIFER
JENNIFER
CHRISTINE
CHRISTINE
GARRY
AMY
AMBER
ROBERT
ROBERT
SCOTT
SCOTT
COREY
TIMOTHY
SAM
JILL
THOMAS
THOMAS
JAMES
JAMES
BRIAN
BRIAN
BRENTON
BRENTON
SCOTT
ANTHONY
ANTHONY
STEVE
STEVE
TITLE
PHONE
3076721000
3076736100
3076721000
3076736100
3076744416
3076729789
3076725881
3076727874
3076726451
3076726451
3076721000
3076726451
3076721000
3076726451
3076726451
3076727874
3076727874
3076727874
3076727874
3076744405
3076745534
3076746253
3076744405
3076745534
3076746253
3076744405
3076745534
3076746253
3076744405
3076745534
3076746253
3076744405
3076745534
3076746253
3076744405
3076745534
3076746253
3076744405
3076745534
3076746253
3076744405
3076745534
3076746253
3076744405
3076745534
3076746253
3076744405
3076745534
3076746253
3076744405
3076745534
3076746253
3076744405
3076745534
3076746253
3076745534
3076746253
3076728941
3076728941
3076731704
3076727874
3076720290
3076720290
3076720290
3076872020
3076872020
3076752020
3076721000
3076736300
3076721000
3076747469
3076721000
3076747469
3076721000
3076747469
3076747469
3076721000
3076747469
3076721000
3076747469
CLINIC NAME
Michele L Bennett MD PC
Michele L Bennett MD PC
Michele L Bennett MD PC
Michele L Bennett MD PC
Michele L Bennett MD PC
Michele L Bennett MD PC
Mountain View Clinic
Mountain View Regional Hospital
NORTHEAST WYOMING PEDIATRIC ASSOCIATES
NORTHEAST WYOMING PEDIATRIC ASSOCIATES
NORTHEAST WYOMING PEDIATRIC ASSOCIATES
NORTHEAST WYOMING PEDIATRIC ASSOCIATES
NORTHEAST WYOMING PEDIATRIC ASSOCIATES
NORTHEAST WYOMING PEDIATRIC ASSOCIATES
NORTHEAST WYOMING PEDIATRIC ASSOCIATES
NORTHERN ROCKIES NEUROMONITORING
NORTHERN ROCKIES NEUROMONITORING
NORTHERN ROCKIES NEUROMONITORING
NORTHERN ROCKIES NEURO-SPINE
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
REGIONAL HEALTH PHYSICIANS
ROBBINS DERMATOLOGY PC
ROBBINS DERMATOLOGY PC
Robert S Hanna MD PC
Robert S Hanna MD PC
Sheridan Ear Nose & Throat
Sheridan Ear Nose & Throat
Sheridan Ear Nose & Throat
SHERIDAN EYECARE CENTER
SHERIDAN EYECARE CENTER
SHERIDAN EYECARE CENTER
Sheridan Neurology
Sheridan Neurology
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
ADDRESS1
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
MICHELE L BENNETT MD PC
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
MICHELE L BENNETT MD PC
SHERIDAN MANOR
WEST VIEW HEALTHCARE CENTER
WILLIAM WILLIAMS MD
SHERIDAN SURGICAL CENTER
NORTHEAST WYOMING PEDIATRIC ASSOCIATES PC
NORTHEAST WYOMING PEDIATRIC ASSOCIATES PC
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
NORTHEAST WYOMING PEDIATRIC ASSOCIATES PC
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
NE WYOMING PEDIATRIC ASSOCIATES PC
NORTHEAST WYOMING PEDIATRIC ASSOCIATES PC
SHERIDAN SURGICAL CENTER
SHERIDAN SURGICAL CENTER
SHERIDAN SURGICAL CENTER
SHERIDAN SURGICAL CENTER
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
GARRY K DUNN
ROBBINS DERMATOLOGY PC
ROBBINS DERMATOLOGY PC
ROBERT S HANNA MD PC
SHERIDAN SURGICAL CENTER
SHERIDAN EAR NOSE & THROAT
SHERIDAN EAR NOSE & THROAT
SHERIDAN EAR NOSE & THROAT
SHERIDAN EYECARE CENTER
SHERIDAN EYECARE CENTER
116 S MAIN
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
SHERIDAN NEUROLOGY
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
ADDRESS2
1401 W FIFTH AVE
248 W WORKS ST
1401 W FIFTH AVE
248 W WORKS ST
1851 BIG HORN AVE
1990 W LOUCKS
1456 W 5TH ST
1524 W 5TH ST
916 JACKSON AVE
916 JACKSON AVE
1401 W FIFTH AVE
916 JACKSON AVE
1401 W FIFTH AVE
5 LANE LN
916 JACKSON AVE
1524 W 5TH ST
1524 W 5TH ST
1524 W 5TH ST
1524 W 5TH ST
1221 W 5TH ST
1701 W 5TH ST STE C
909 LONG DR STE D
1221 W 5TH ST
1701 W 5TH ST STE C
909 LONG DR STE C
1221 W 5TH ST
1701 W 5TH ST STE C
909 LONG DR STE C
1221 W 5TH ST
1701 W 5TH ST STE C
909 LONG DR STE D
1221 W 5TH ST
1701 W 5TH ST STE C
909 LONG DR STE D
1221 W 5TH ST
1701 W 5TH ST STE C
909 LONG DR STE C
1221 W 5TH ST
1701 W 5TH ST STE C
909 LONG DR STE C
1221 W 5TH ST
1701 W 5TH ST STE C
909 LONG DR STE C
1221 W 5TH ST
1701 W 5TH ST STE C
909 LONG DR STE C
1221 W 5TH ST
1701 W 5TH ST STE C
909 LONG DR STE D
1221 W 5TH ST
1701 W 5TH ST STE C
909 LONG DR STE C
1221 W 5TH ST
1701 W 5TH ST STE C
909 LONG DR STE C
1701 W 5TH ST STE C
909 LONG DR STE C
1401 W 5TH ST
206 N BROOKS ST
206 N BROOKS ST
340 WEST DOW STE A
1524 W 5TH ST
1524 W FIFTH ST
330 W DOW ST
330 W DOW ST
116 S MAIN
116 S MAIN
1401 W FIFTH AVE
1050 MYDLAND RD
1401 W FIFTH AVE
1050 MYDLAND RD
1401 W FIFTH AVE
1050 MYDLAND RD
1401 W FIFTH AVE
1050 MYDLAND RD
1050 MYDLAND RD
1401 W FIFTH AVE
1050 MYDLAND RD
1401 W FIFTH AVE
1050 MYDLAND RD
CITY
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
SPEC
FP
FP
FP
FP
FP
FP
SUNS
AN
PD
PD
PD
PD
PD
PD
PD
OR
OR
SUNS
SUNS
CUMH
CUMH
CUMH
PSPS
PSPS
PSPS
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
PY
PY
PY
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
PY
PY
RADR
DM
DM
OP
OP
OL
OL
OL
OD
OD
OP
PSNE
PSNE
OR
OR
OR
OR
OR
OR
OR
OR
OR
PO
PO
SPECIALTY_DESCR
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Neurological Surgery
Anesthesiology
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Orthopaedic Surgery
Orthopaedic Surgery
Neurological Surgery
Neurological Surgery
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychiatry & Neurology - Psychiatry
Psychiatry & Neurology - Psychiatry
Psychiatry & Neurology - Psychiatry
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychologist
Psychologist
Psychologist
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychologist
Psychologist
Radiology - Diagnostic Radiology
Dermatology
Dermatology
Ophthalmology
Ophthalmology
Otolaryngology
Otolaryngology
Otolaryngology
Optometrist
Optometrist
Ophthalmology
Psychiatry & Neurology - Neurology
Psychiatry & Neurology - Neurology
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Podiatrist
Podiatrist
Page 39 of 57
LAST_NAME
RABON
RITTERBUSCH
RITTERBUSCH
ULIBARRI
ULIBARRI
ZEBROSKI
ZEBROSKI
DOUGHTY
DOUGHTY
DOUGHTY
SCHREFFLER
SCHREFLER
SCHREFLER
ALLRED
BARKELL
GLASSOCK
GREEN
LAUSEN
PATTERSON
SHERWOOD
SHERWOOD
SIOJO ALLEN
WINNOP
ZOWADA
ALZHEIMER
ALZHEIMER
SHERIDAN RADIOLOGY
SHERIDAN RADIOLOGY
WHITE
WHITE
SHERIDAN SURGICAL CENTER
GILL
GILL
GILL
JONS
MCADOO
MCADOO
LOGE
JORDAN
MCLAWS
TEELA
SANDER
STAMATO
OLSON
OLSON
SCOTT
SCOTT
SCOTT
KATSCHKE
SMITH
HILLSIDE PHARMACY
CROOK COUNTY MEDICAL SERVICES DISTRICT
CUMMINGS
DAVIDSON
LUMNITZ
MITCHELL
NOBACK
ROGERS
SCHWARTZ
VOLL
WALES
DACAR
HALDER
KRAMER
METCALF
ANDERSON
BAILEY
BELL
BOONE
ELLIOTT
PASTORE WATKINS
PHELON
RICE
SOLYST
TERRY
VAN NORMAN
WHITE
WINTER
CONNALLY
DUNN
MCADOO
08/22/2013
FIRST_NAME
STEVE
JOHN
JOHN
JAMES
JAMES
JEREMY
JEREMY
WILLIAM
WILLIAM
WILLIAM
DENNIS
DENNIS
DENNIS
BRIAN
JAMIE
ANGELA
DAGAN
KRISTA
HEATHER
KENT
KRESS
ANGELITA
TERRY
BRET
DANIEL
DANIEL
JASON
JASON
BRIDGETTE
LAWRENCE
LAWRENCE
TRACY
GREGG
GREGG
PATRICIA
LISA
CRAIG
JAMES
STEPHANIE
JOHN
BECKY
BECKY
TIMOTHY
TIMOTHY
TIMOTHY
JOSEPH
WALTON
ROBERT
SAMANTHA
JANICE
KIRK
KEITH
ERIN
TERRENCE
PATRICIA
CHERYL
LANA
ELIZABETH
VERONICA
MELISSA
JUDEE
CHERYL
ANDI
DON
SHERI
CAROL
HOPE
LINDA
JERRY
THOMAS
RITA
JENNIFER
CHRISTINE
PATRICIA
GARRY
GREGG
TITLE
PHONE
3076747469
3076721000
3076747469
3076721000
3076747469
3076721000
3076747469
3076737164
3076737164
3076721000
3076737164
3076722092
3076722092
3076722092
3076722092
3076722092
3076722092
3076722092
3076722092
3076722092
3076722092
3076722092
3076721045
3076721045
3076721045
3076721045
3076721045
3076721045
3076727874
3076722522
3076721000
3076722522
3076722522
3076721000
3076722522
3074311317
3076723457
3076723457
3076746022
3076746022
3076720401
3076720401
3076721000
3076720401
3076720401
3076735177
3076735177
3072833883
(307) 283 3501
3072832476
3072832476
3072832476
3072832476
3072832476
3072832476
3072832476
3072832476
3072900317
3072833516
3072833516
3072833516
3072833516
3072833636
3072833636
3072833636
3072833636
3072833636
3072833636
3072833636
3072833636
3072833636
3072833636
3072833636
3072833636
3072833636
3072832476
3072833501
3072832476
CLINIC NAME
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
SHERIDAN PATHOLOGY ASSOCIATES
SHERIDAN PATHOLOGY ASSOCIATES
SHERIDAN PATHOLOGY ASSOCIATES
SHERIDAN PATHOLOGY ASSOCIATES
SHERIDAN PATHOLOGY ASSOCIATES
SHERIDAN PATHOLOGY ASSOCIATES
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Physical Therapy
Sheridan Radiology
Sheridan Radiology
Sheridan Radiology
Sheridan Radiology
Sheridan Radiology
Sheridan Radiology
Sheridan Surgical Center
SHERIDAN WOMEN'S HEALTH P.C.
SHERIDAN WOMEN'S HEALTH P.C.
SHERIDAN WOMEN'S HEALTH P.C.
SHERIDAN WOMEN'S HEALTH P.C.
SHERIDAN WOMEN'S HEALTH P.C.
SHERIDAN WOMEN'S HEALTH P.C.
ST. VINCENT HEALTHCARE
Stillwaters Counseling LLC
THE FOOT CARE CENTER
THE FOOT CARE CENTER
Welch Cancer Center
Welch Cancer Center
WOMENS CLINIC OF NE WYOMING
WOMENS CLINIC OF NE WYOMING
WOMENS CLINIC OF NE WYOMING
WOMENS CLINIC OF NE WYOMING
WOMENS CLINIC OF NE WYOMING
WyoVision Associates Inc
WyoVision Associates Inc
ADVANCEPCS
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
CROOK COUNTY MEDICAL SERVICES DISTRICT
MOUNTAIN PLAINS COUNSELING CENTER
North Platte Physical Therapy
North Platte Physical Therapy
North Platte Physical Therapy
North Platte Physical Therapy
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Northern Wyoming Mental Health Center
Orthopaedic Specialists of Wyoming
REGIONAL HEALTH PHYSICIANS
REGIONAL HEALTH PHYSICIANS
ADDRESS1
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
SHERIDAN ORTHOPAEDIC ASSOCIATES PC
PO BOX 807
SHERIDAN PATHOLOGY ASSOCIATES PC
SHERIDAN PATHOLOGY ASSOCIATES PC
PO BOX 807
SHERIDAN MEMORIAL HOSPITAL
SHERIDAN PATHOLOGY ASSOCIATES PC
SHERIDAN PHYSICAL THERAPY
SHERIDAN PHYSICAL THERAPY
SHERIDAN PHYSICAL THERAPY
SHERIDAN PHYSICAL THERAPY
SHERIDAN PHYSICAL THERAPY
SHERIDAN PHYSICAL THERAPY
SHERIDAN PHYSICAL THERAPY
SHERIDAN PHYSICAL THERAPY
SHERIDAN PHYSICAL THERAPY
SHERIDAN PHYSICAL THERAPY
SHERIDAN PHYSICAL THERAPY
SHERIDAN RADIOLOGY
SHERIDAN RADIOLOGY
SHERIDAN RADIOLOGY
SHERIDAN RADIOLOGY
SHERIDAN RADIOLOGY
SHERIDAN RADIOLOGY
SHERIDAN SURGICAL CENTER
SHERIDAN WOMENS HEALTH PC
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
SHERIDAN WOMENS HEALTH PC
SHERIDAN WOMENS HEALTH PC
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
SHERIDAN WOMENS HEALTH PC
1435 BURTON ST
STILLWATERS COUNSELING LLC
132 N GOULD ST
132 NORTH GOULD ST
WELCH CANCER CENTER
WELCH CANCER CENTER
THE WOMENS CLINIC OF NORTHEASTERN WYOMING
THE WOMENS CLINIC OF NORTHEASTERN WYOMING
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
THE WOMENS CLINIC OF NORTHEASTERN WYOMING
THE WOMENS CLINIC OF NORTHEASTERN WYOMING
WYOVISION ASSOCIATES INC
WYOVISION ASSOCIATES INC
224 MAIN ST
713 OAK ST
SUNDANCE CLINIC
SUNDANCE CLINIC
SUNDANCE CLINIC
SUNDANCE CLINIC
SUNDANCE CLINIC
SUNDANCE CLINIC
SUNDANCE CLINIC
SUNDANCE CLINIC
369 W HWY 14
BEAR LODGE REHABILITATION LLC
BEAR LODGE REHABILITATION LLC
BEAR LODGE REHABILITATION LLC
BEAR LODGE REHABILITATION LLC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
NORTHERN WYOMING MENTAL HEALTH CENTER INC
PATRICIA CONNALLY DO
CROOK COUNTY MEDICAL SERVICE DISTRICT
SUNDANCE CLINIC
ADDRESS2
340 W DOW
1401 W FIFTH AVE
1050 MYDLAND RD
1401 W FIFTH AVE
1050 MYDLAND RD
1401 W FIFTH AVE
1050 MYDLAND RD
1401 W 5TH ST STE 314
1501 W 5TH ST
1401 W 5TH ST
1501 W 5TH ST
50 W 3RD ST
50 W 3RD ST
50 W 3RD ST
50 W 3RD ST
50 W 3RD ST
50 W 3RD ST
50 W 3RD ST
50 W 3RD ST
50 W 3RD ST
50 W 3RD ST
50 W 3RD ST
1333 W 5TH ST STE 100
1401 W FIFTH ST
1333 W 5TH ST STE 100
1401 W FIFTH ST
1333 W 5TH ST STE 100
1401 W FIFTH ST
1524 W FIFTH ST
1333 W 5TH ST STE 203
1401 W FIFTH AVE
1333 W 5TH ST STE 203
1333 W 5TH ST STE 203
1401 W FIFTH AVE
1333 W 5TH ST STE 203
2175 LITTLE HORN DR
1585 W 5TH ST
1585 W 5TH ST
211 W BURKITT ST
212 W BURKITT ST
1401 W FIFTH AVE
211 W BURKITT ST
212 W BURKITT ST
1450 SUGARLAND DR
1450 SUGARLAND DR
713 OAK ST
713 OAK ST
713 OAK ST
713 OAK ST
713 OAK ST
713 OAK ST
713 OAK ST
713 OAK ST
226 ST HWY 585
226 ST HWY 585
226 ST HWY 585
226 ST HWY 585
420 1/2 MAIN ST
420 1/2 MAIN ST
420 1/2 MAIN ST
420 1/2 MAIN ST
420 1/2 MAIN ST
420 1/2 MAIN ST
420 1/2 MAIN ST
420 1/2 MAIN ST
420 1/2 MAIN ST
420 1/2 MAIN ST
420 1/2 MAIN ST
420 1/2 MAIN ST
420 1/2 MAIN ST
713 OAK ST
713 OAK ST
713 OAK ST
CITY
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SHERIDAN
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
SUNDANCE
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82801
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
82729
SPEC
PO
OR
OR
OR
OR
OR
OR
PGAP
PGAP
PGAP
PGAP
PGAP
PGAP
PT
PT
PT
PT
PT
PT
PT
SLP
OT
PT
PT
RADR
RADR
RADR
RADR
RADR
RADR
CCSU
OG
OG
OG
OG
OG
OG
NP
CUMH
PO
PO
IMHO
RAON
OG
OG
OG
OG
OG
OD
OD
PHY
HSP
FP
FP
FP
FP
FP
FP
FP
FP
CUMH
PT
OT
PT
PT
CUMH
PSPS
CUMH
CUMH
CUMH
PY
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
PY
OR
RADR
OG
SPECIALTY_DESCR
Podiatrist
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Speech Language Pathologist
Occupational Therapist
Physical Therapist
Physical Therapist
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Clinic/Center - Ambulatory Surgical
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Nurse Practitioner
Counselor - Mental Health
Podiatrist
Podiatrist
Internal Medicine - Hematology & Oncology
Radiology - Radiation Oncology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Optometrist
Optometrist
Pharmacy
HOSPITAL
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Counselor - Mental Health
Physical Therapist
Occupational Therapist
Physical Therapist
Physical Therapist
Counselor - Mental Health
Psychiatry & Neurology - Psychiatry
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychologist
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychologist
Orthopaedic Surgery
Radiology - Diagnostic Radiology
Obstetrics & Gynecology
Page 40 of 57
LAST_NAME
WALDER
WHEELER
GREENBAUM
TETON VILLAGE CLINIC
LOWER VALLEY UNITED DRUG
LOFARO
ROBERTS
BROWN
JESKE
JOHNSON
WHEELER
CORNER DRUG @ IGA
VICKLUND PHARMACY
BILES
ALLEN
ANDERS
KLEMAN
SANTALA
WENTZELL
WHITTENBERGER
COMMUNITY HOME HEALTH SERVICES INC
COOK
BRAMBLE
BROWN
CLARKE
HANSON
HOT SPRINGS COUNTY MEMORIAL HOSP
MILLER
PARIS
PETTIPIECE
RICE
RYAN
TAYLOR
BOMENGEN
DENNEY
HANSON
MAHONEY
NILES
PETTIPIECE
RICE
WEYER
STEWART
MILLER
FLUTURE
SENNHOLZ
COMMUNITY DRUG
PAMIDA #90
VANDEL DRUG
KARIMOU
FLUCKIGER
HALLEY
HUNTER
LOPEZ
RANDOLPH
SMITH
LOPEZ
BECK
BERRY
CALDEMEYER
CAMPBELL
CANTU
GREENWALD
HUNTER
KARIMOU
MILLER
RANDOLPH
SCHWARTZKOPF
SMITH
SMITH
TOOTHMAN
WILKINS
COMMUNITY HOME CARE
COMMUNITY HOME CARE
BERRY
CARR
COMMUNITY HOSPITAL - TORRINGTON
FIRTH
GLASS
KARIMOU
KHAN
MARSHALL
08/22/2013
FIRST_NAME
JAMES
ALBERT
JEFFREY
TITLE
MD
PHONE
3072833501
3077397346
3077397346
3077397346
3078834600
3078834937
3078834937
3078837878
3078837878
3078837878
3078837878
3078643150
3078642369
3078643121
3078643121
3078643121
8003251774
3078643121
8003251774
8003251774
3078645585
3078642002
(307) 864 3121
MD
(307) 864 3121
MAURA
SHANNON
CLANY
DANIEL
DAVID
JIM
JIMMIE
TRAVIS
WILLARD
GAIL
ROGER
JOSEPH
BROCK
DAVID
JOHN
JASON
DELPHIA
COLLEEN
(307) 864 3121
VERNON
CHRISTOPHER
KURT
JENNIFER
KEVIN
JAMES
W
GINGER
COLLEEN
KEVIN
DEANNA
KURT
JENNIFER
JASON
GREGORY
VERNON
ADRIAN
KELLY
(307) 864 2002
(307) 864 5534
(307) 864 5534
(307) 864 5534
(307) 864 5534
(307) 864 5534
(307) 864 5534
(307) 864 5534
(307) 864 5534
3078643121
(307) 864 2141
3078642146
3075324181
3075323060
3075321011
3075322214
ISSIFI
EZDAN
LAURA
MICHELLE
JOSE
BONNIE
KAYO
JOSE
NATALIE
MILLARD
KAREN
RICHARD
NORMA
TAMI
MICHELLE
ISSIFI
BARBARA
BONNIE
JOEL
KAYO
MARION
RICHARD
ANNA
MD
MILLARD
CHRISTOPHER
MD
RONALD
AKEMI
ISSIFI
MUHAMMAD
MELANIE
MD
NP
(307) 532 2107
(307) 532 2107
(307) 532 2107
MD
(307) 532 4131
MD
3075322107
(307) 532 2107
(307) 532 2107
3075322107
(307) 532 2107
(307) 532 2107
(307) 532 2107
(307) 532 2107
3075322107
(307) 532 4131
(307) 532 2107
(307) 532 4131
(307) 532 2107
3075322107
(307) 532 2107
3075324180
3075322107
(307) 532 4181
(970) 506 6610
3075324181
MD
MD
(307) 532 2107
CLINIC NAME
Regional Heart Doctors
St Johns Hospital
ST. JOHNS MEDICAL CENTER
ST. JOHNS MEDICAL CENTER
ADVANCEPCS
Gros Ventre OB/GYN LLP
Gros Ventre OB/GYN LLP
Jim Wheeler Physical Therapy
Jim Wheeler Physical Therapy
Jim Wheeler Physical Therapy
Jim Wheeler Physical Therapy
ADVANCEPCS
ADVANCEPCS
BIG HORN BASIN ORTHOPEDIC CLINIC, P.C.
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
Community Home Health Services Inc
HOT SPRINGS BONE & JOINT CENTER
HOT SPRINGS COUNTY MEMORIAL HOSPITAL
HOT SPRINGS COUNTY MEMORIAL HOSPITAL
HOT SPRINGS COUNTY MEMORIAL HOSPITAL
HOT SPRINGS COUNTY MEMORIAL HOSPITAL
HOT SPRINGS COUNTY MEMORIAL HOSPITAL
HOT SPRINGS COUNTY MEMORIAL HOSPITAL
HOT SPRINGS COUNTY MEMORIAL HOSPITAL
HOT SPRINGS COUNTY MEMORIAL HOSPITAL
HOT SPRINGS COUNTY MEMORIAL HOSPITAL
HOT SPRINGS COUNTY MEMORIAL HOSPITAL
HOT SPRINGS COUNTY MEMORIAL HOSPITAL
RED ROCK FAMILY PRACTICE, PC
RED ROCK FAMILY PRACTICE, PC
RED ROCK FAMILY PRACTICE, PC
RED ROCK FAMILY PRACTICE, PC
RED ROCK FAMILY PRACTICE, PC
RED ROCK FAMILY PRACTICE, PC
RED ROCK FAMILY PRACTICE, PC
RED ROCK FAMILY PRACTICE, PC
UROLOGICAL SRV OF NORTHERN WYO
VERNON MILLER, MD
Wyoming Cardiopulmonary Services PC
COMMUNITY HOSPITAL - TORRINGTON
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
Banner Health Physicians West
BANNER HEALTH PHYSICIANS WEST LLC
BANNER HEALTH PHYSICIANS WEST LLC
BANNER HEALTH PHYSICIANS WEST LLC
BANNER HEALTH PHYSICIANS WEST LLC
BANNER HEALTH PHYSICIANS WEST LLC
BANNER HEALTH PHYSICIANS WEST LLC
BANNER MEDICAL CLINIC TOR
BHS PHYSICIAN SERVICES
BHS PHYSICIAN SERVICES
BHS PHYSICIAN SERVICES
BHS PHYSICIAN SERVICES
BHS PHYSICIAN SERVICES
BHS PHYSICIAN SERVICES
BHS PHYSICIAN SERVICES
BHS PHYSICIAN SERVICES
BHS PHYSICIAN SERVICES
BHS PHYSICIAN SERVICES
BHS PHYSICIAN SERVICES
BHS PHYSICIAN SERVICES
BHS PHYSICIAN SERVICES
BHS PHYSICIAN SERVICES
BHS PHYSICIAN SERVICES
CHEYENNE REGIONAL MEDICAL CNTR- FACILITY
CHEYENNE REGIONAL MEDICAL CNTR- FACILITY
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
ADDRESS1
CROOK COUNTY MEDICAL SERVICE DISTRICT
TETON VILLAGE CLINIC
TETON VILLAGE CLINIC
TETON VILLAGE CLINIC
190 N MAIN ST
GROS VENTRE OB/GYN LLP
GROS VENTRE OB/GYN LLP
PHYSICAL THERAPY OF STAR VALLEY
PHYSICAL THERAPY OF STAR VALLEY
PHYSICAL THERAPY OF STAR VALLEY
PHYSICAL THERAPY OF STAR VALLEY
225 S 4TH ST
621 RICHARDS ST
THERMOPOLIS CLINIC
HOT SPRINGS COUNTY MEMORIAL HOSPITAL
HOT SPRINGS COUNTY MEMORIAL HOSPITAL
BILLINGS CLINIC
HOT SPRINGS COUNTY MEMORIAL HOSPITAL
BILLINGS CLINIC
BILLINGS CLINIC
COMMUNITY HOME HEALTH SERVICES INC
150 E ARAPAHOE ST
150 E ARAPAHOE ST
150 E ARAPAHOE ST
HOT SPRINGS COUNTY MEMORIAL HOSPITAL
150 E ARAPAHOE ST
150 E ARAPAHOE
150 E ARAPAHOE ST
150 E ARAPAHOE ST
150 E ARAPAHOE ST
150 E ARAPAHOE ST
150 E ARAPAHOE
150 E ARAPAHOE
120 N "C" AVE
120 N C AVE
120 N "C" AVE
120 N "C" ST
120 N "C" AVE
120 N "C" AVE
120 N "C" AVE
120 N "C" AVE
THERMOPOLIS CLINIC
112 E ARAPAHOE ST
GOTTSCHE REHABILITATION CENTER
2000 CAMPBELL DRIVE
900 WEST VALLEY RD
1100 E VALLEY RD
2041 MAIN ST
BHCLC ALBANY
625 ALBANY AVE
625 ALBANY AVE
625 ALBANY AVE
BHCLC ALBANY
BHCLC ALBANY
BHCLC ALBANY
625 ALBANY AVE
625 ALBANY AVE
625 ALBANY AVE
625 ALBANY AVE
625 ALBANY AVE
625 ALBANY AVE
825 ALBANY AVE
625 ALBANY AVE
625 ALBANY AVE
625 ALBANY AVE
625 ALBANY AVE
625 ALBANY AVE
625 ALBANY AVE
625 ALBANY AVE
625 ALBANY AVE
625 ALBANY AVE
627 ALBANY AVENUE
627 ALBANY AVE
COMMUNITY HOSPITAL
625 ALBANY AVE
2000 CAMPBELL DR
2000 CAMPBELL DR.
2000 CAMPBELL DR
COMMUNITY HOSPITAL
COMMUNITY HOSPITAL
625 ALBANY AVE
ADDRESS2
713 OAK ST
3345 W CODY LANE
3345 W CODY LANE
3305 CHRISTOPHER DR
122 PETERSEN PKWY STE 4
122 PETERSEN PKWY STE 4
124 PETERSEN PKWY 1
124 PETERSEN PKWY 1
124 PETERSEN PKWY 1
124 PETERSEN PKWY 1
150 E ARAPAHOE
150 E ARAPAHOE
150 E ARAPAHOE
150 E ARAPAHOE
150 E ARAPAHOE
150 E ARAPAHOE
150 E ARAPAHOE
427 BIG HORN
150 E ARAPAHOE
150 E ARAPAHOE
148 E ARAPAHOE
625 ALBANY AVENUE
625 ALBANY AVE.
625 ALBANY AVE
2000 CAMPBELL DR.
2000 CAMPBELL DR
2000 CAMPBELL DR
CITY
SUNDANCE
TETON VILLAGE
TETON VILLAGE
TETON VILLAGE
THAYNE
THAYNE
THAYNE
THAYNE
THAYNE
THAYNE
THAYNE
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
THERMOPOLIS
TORRINGRTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
82729
83025
83025
83025
83127
83127
83127
83127
83127
83127
83127
82443
82443
82443
82443
82443
82443
82443
82443
82443
82443
82443
82443
82443
824432402
82443
824432402
82443
82443
82443
82443
824432402
82443
82443
824432410
82443
82443
82443
82443
82443
82443
82443
82443
82443
82240
82240
82240
82240
822401530
82240
82240
82240
822401530
82240
822401530
82240
822401530
82240
82240
82240
822401530
822401530
82240
822401530
82240
82240
82240
82240
82240
82240
822401530
82240
82240
822401528
82240
82240
822401528
82240
822401528
822401528
82240
SPEC
IMCI
EM
EM
AU
PHY
OG
OG
PT
PT
PT
PT
PHY
PHY
OR
IMHO
IMHE
DM
IMHO
DM
IMHO
HOHE
OR
RADR
RADR
RADR
PAC
HSP
SU
AN
FP
FP
AN
RADR
FP
NP
PAC
FP
PAC
FP
FP
FP
SUUR
SU
IMCI
EM
PHY
PHY
PHY
FP
FP
NP
PAC
FP
FP
GP
FP
NP
FP
RADR
FP
FP
DIR
PAC
FP
SU
FP
PAC
FP
FP
RADR
FP
HOHE
HHA
FP
SU
HSP
FP
DIR
FP
IMCV
IM
SPECIALTY_DESCR
Internal Medicine - Interventional Cardiology
Emergency Medicine
Emergency Medicine
Audiologist
Pharmacy
Obstetrics & Gynecology
Obstetrics & Gynecology
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Pharmacy
Pharmacy
Orthopaedic Surgery
Internal Medicine - Hematology & Oncology
Internal Medicine - Hematology
Dermatology
Internal Medicine - Hematology & Oncology
Dermatology
Internal Medicine - Hematology & Oncology
Home Health
Orthopaedic Surgery
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Physician Assistant
HOSPITAL
Surgery
Anesthesiology
Family Practice
Family Practice
Anesthesiology
Radiology - Diagnostic Radiology
Family Practice
Nurse Practitioner
Physician Assistant
Family Practice
Physician Assistant
Family Practice
Family Practice
Family Practice
Urology
Surgery
Internal Medicine - Interventional Cardiology
Emergency Medicine
Pharmacy
Pharmacy
Pharmacy
Family Practice
Family Practice
Nurse Practitioner
Physician Assistant
Family Practice
Family Practice
General Practice
Family Practice
Nurse Practitioner
Family Practice
Radiology - Diagnostic Radiology
Family Practice
Family Practice
Dietitian, Registered
Physician Assistant
Family Practice
Surgery
Family Practice
Physician Assistant
Family Practice
Family Practice
Radiology - Diagnostic Radiology
Family Practice
Home Health
HOME HEALTH AGENCY
Family Practice
Surgery
HOSPITAL
Family Practice
Dietitian, Registered
Family Practice
Internal Medicine - Cardiovascular Disease
Internal Medicine
Page 41 of 57
LAST_NAME
MITCHELL
PAPENFUS
RANDOLPH
SCHARFF
STIEGLITZ
WIEDMAN
BUCHANAN
DEHLER
MCCAFFERTY
RODGERS
EAKINS
HANSEN
HERRING
FULLER
BAUMGARDNER
BURIAN
CORWIN
FITTS
MARTIN
MITCHELL
OCHSNER
SORRICK
WOLFE
WOOD
MCKEE
VOTRUBA
WALSH
TORRINGTON AMBULANCE SERVICE
CARTER
DAVIS
GAPINSKI
HUNTER
FISCHER
CARPENTER
FRANKLIN
JAGELSKI
JORDING
MASON
REIMER
REDDEN
PAMIDA #154
BAUERLE
WIEDEMEN
BEAUPREZ
EASTERN WYOMING AMBULANCE
ARCHIE
WEBER
HALSEY
FAULKNER
PLATTE COUNTY HOME CARE
DUEL
JAMES
LEDKINS
WELLS
HARPER
KROTZ
MINCER
BERRY
BILLIN
GOODE
HIMES
PALMER
PLATTE COUNTY MEMORIAL HOSP
ULLRICH
ACKERMAN
LANGEVIN
CECIL
HICKS
JOHNSON
PALMER
PEASLEY
SCHINDLER
SCHULTZ
WOODS
WOOLSEY
GUIER
SCHWARTZ
W HILKE
HANDSCHIN
ENRIGHT
LUKE
08/22/2013
FIRST_NAME
BETTY
KURT
BONNIE
KEVIN
JEFFERY
JESSICA
KAY
JANET
MICHAEL
DEBORAH
NATHANIEL
KIMBERLY
MARNIE
JOE
LYNDA
JOEL
MITSI
D. ROYCE
GERRI
THOMAS
DEBRA
SUSAN
MELANIE
RENE
RONALD
TROY
JASON
TITLE
MD
MD
MD
MD
(307) 532 4181
DPT
PT
MD
COURTNEY
MARK
CONNIE
DAVID
DONALD
MIKE
D CHUCK
AARON
MIKE
JAN
LANNY
BRIAN
GARY
MARJ
DAVID
LORI
NIKI
DAVID
CINDY
GINA
MELISSA
SAUNDRA
CAROL
M. LEANNE
KALYN
STEVEN
MILLARD
AARON
CHEATHAM
TERRY
LAURI
JOHN
STEPHANIE
PAUL
JEFFREY
TANDA
PEGGY
LAURI
STEVE
KIMBERLY
PENNIE
WILLARD
MARY
CHRISTIAN
ANNA
V HAYDEN
JEREMIAH
TERESA
SALLY
PHONE
(307) 534 7138
MD
DO
MD
MD
3075324181
3075322119
3075322119
(307) 358 9464
(307) 358 9464
3075325355
3075324694
(307) 634 9653
(307) 532 4091
(307) 532 4091
(307) 532 4091
(307) 532 4091
(307) 532 4091
(307) 532 4091
(307) 532 4091
(307) 532 4091
(307) 532 4091
3075324181
(308) 632 2872
(307) 532 7052
3075322107
3075322107
3075322107
3075322107
(307) 532 4091
3074682302
3074682302
3074682302
3074682302
3074682302
3074682302
3077864460
3073222030
9703922135
9703922135
3073223533
(307) 322 5424
3073223332
3073229139
3073229747
(307) 322 5002
3073225891
3072664000
3073221878
3073221878
3073221878
(307) 322 3190
(307) 322 3190
(307) 322 3190
(307) 322 3636
(307) 322 3636
3073223636
(307) 322 3636
(307) 322 3636
(307) 322 3636
(307) 322 3636
3073319375
(307) 322 3636
(307) 322 3861
(307) 322 3861
(307) 322 5002
(307) 322 3861
(307) 322 3861
(307) 322 3861
(307) 322 3861
(307) 322 3861
(307) 322 3861
3077332855
3074132050
3076997667
3076993170
3077335676
3077335676
CLINIC NAME
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
KAY M BUCHANAN, MD
MEMORIAL HOSPITAL OF CARBON COUNTY
NEW HOPE COUNSELING
NEW HOPE COUNSELING
NORTH PLATTE PHYSICAL THERAPY SERVICES
NORTH PLATTE PHYSICAL THERAPY SERVICES
NORTH PLATTE PHYSICAL THERAPY SERVICES
ORTHOSPORT PHYSICAL THERAPY
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PLATTE COUNTY MEMORIAL HOSPITAL
PLATTE COUNTY MEMORIAL HOSPITAL
REGIONAL WEST PHYSICIANS CLINIC
TORRINGTON AMBULANCE SERVICE
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WYOMING BEHAVIORIAL INSTITUTE
CEDAR HILLS FAMILY CLINIC
CEDAR HILLS FAMILY CLINIC
CEDAR HILLS FAMILY CLINIC
CEDAR HILLS FAMILY CLINIC
CEDAR HILLS FAMILY CLINIC
CEDAR HILLS FAMILY CLINIC
WYOMING SPECIALIZED PHYSICAL THERAPY
ADVANCEPCS
BANNER IMAGING ASSOC OF NORTH COLORADO
BANNER IMAGING ASSOC OF NORTH COLORADO
DAVID M BEAUPREZ DC
EASTERN WYOMING AMBULANCE SERVICE INC
FRONTIER AUDIOLOGY
GENERATIONS CHIROPRACTIC LLC
HALSEY, PC
MEMORIAL HOSPITAL OF CARBON COUNTY
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Mountain View Clinic
NORTH PLATTE PHYSICAL THERAPY SERVICES
NORTH PLATTE PHYSICAL THERAPY SERVICES
NORTH PLATTE PHYSICAL THERAPY SERVICES
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PEAK WELLNESS CENTER
PLATTE COUNTY MEMORIAL HOSPITAL
PLATTE COUNTY MEMORIAL HOSPITAL
PLATTE COUNTY MEMORIAL HOSPITAL
PLATTE COUNTY MEMORIAL HOSPITAL
PLATTE COUNTY MEMORIAL HOSPITAL
PLATTE COUNTY MEMORIAL HOSPITAL
PLATTE COUNTY MEMORIAL HOSPITAL
STEPHANIE S ACKERMAN, LLC
WASHAKIE MEDICAL CENTER
WHEATLAND MEDICAL CLINIC, PC
WHEATLAND MEDICAL CLINIC, PC
WHEATLAND MEDICAL CLINIC, PC
WHEATLAND MEDICAL CLINIC, PC
WHEATLAND MEDICAL CLINIC, PC
WHEATLAND MEDICAL CLINIC, PC
WHEATLAND MEDICAL CLINIC, PC
WHEATLAND MEDICAL CLINIC, PC
WHEATLAND MEDICAL CLINIC, PC
Christian A Guier MD
Coleman Health
Peak Physical Therapy Inc
Pro-Motion Chiropractic and Rehab
Westside Medical, LLC
Westside Medical, LLC
ADDRESS1
COMMUNITY HOPSITAL
COMMUNITY HOSPITAL
COMMUNITY HOSPITAL
625 ALBANY AVE
COMMUNITY HOSPITAL
COMMUNITY HOSPITAL
2000 CAMPBELL DR
2000 CAMPBELL DR
136 W 21ST AVE
136 W 21ST AVE
NORTH PLATTE PHYSICAL THERAPY TORRINGTON
1301 E M STREET
680 E VALLEY RD
1301 E "M" ST STE B
501 ALBANY AVE
501 ALBANY AVE
501 ALBANY AVE
501 ALBANY AVE
501 ALBANY AVE
501 ALBANY AVE
501 ALBANY AVE
501 ALBANY AVE
501 ALBANY AVE
501 ALBANY AVE
2000 CAMPBELL DR
2000 CAMPBELL DR
COMMUNITY HEALTH CENTER WESTERN SURGICAL
2241 E "B" ST
625 ALBANY AVE
625 ALBANY AVE
625 ALBANY AVE
625 ALBANY AVE
501 ALBANY AVE
CEDAR HILLS FAMILY CLINIC PC
CEDAR HILLS FAMILY CLINIC PC
CEDAR HILLS FAMILY CLINIC PC
CEDAR HILLS FAMILY CLINIC PC
CEDAR HILLS FAMILY CLINIC PC
CEDAR HILLS FAMILY CLINIC PC
WYOMING SPECIALIZED PHYSICAL THERAPY
1701 16TH ST
201 14TH ST
201 14TH ST
1557 OAK ST
2450 W MARIPOSA PKWY
968 GILCHRIST
21 COZAD RD
404 9TH ST
1356 SHIEK
814 8TH ST
MOUNTAIN VIEW CLINIC
953 WALNUT ST
953 WALNUT ST
953 WALNUT ST
1954 W MARIPOSA PKWY
1954 WEST MARIPOSA PARKWAY
1954 W MARIPOSA PKWY
PLATTE COUNTY MEMORIAL HOSPITAL
PLATTE COUNTY MEMORIAL HOSPITAL
201 14TH ST
PLATTE COUNTY MEMORIAL HOSPITAL
PLATTE COUNTY MEMORIAL HOSPITAL
201 14TH ST
PLATTE COUNTY MEMORIAL HOSPITAL
953 WALNUT #2 B
201 14TH ST
1551 BRICE ST
1551 BRICE ST
1356 SHIEK ST
1551 BRICE ST
1551 BRICE ST
1551 BRICE ST
1551 BRICE ST
1551 BRICE ST
1551 BRICE ST
WILSON MEDICAL
COLEMAN HEALTH
PEAK PHYSICAL THERAPY INC
PRO-MOTION CHIROPRACTIC AND REHAB
WESTSIDE MEDICAL
WESTSIDE MEDICAL
ADDRESS2
2000 CAMPBELL DR.
2000 CAMPBELL DRIVE
2000 CAMPBELL DR
2000 CAMPBELL DR
2000 CAMPBELL DR.
1301 E M STREET
2000 CAMPBELL DR
717 PINE ST
717 PINE ST
717 PINE ST
717 PINE ST
717 PINE ST
717 PINE ST
64 MEADOW ST
1356 SHIEK ST
201 14TH ST
201 14TH ST.
201 14TH ST.
201 14TH ST
201 14TH ST.
5235 HHR RANCH ROAD
5235 HHR RANCH RD
5237 HHR RANCH RD STE 5
4030 LAKE CREEK RD STE 9
5235 HHR RANCH ROAD
5235 HHR RANCH ROAD
CITY
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
TORRINGTON
UPTON
UPTON
UPTON
UPTON
UPTON
UPTON
URIE
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WHEATLAND
WILSON
WILSON
WILSON
WILSON
WILSON
WILSON
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
ZIP
822401528
822401528
822401528
82240
822401528
82240
822401528
82240
82240
82240
822403606
822403606
82240
82240
82240
82240
82240
82240
82240
82240
82240
82240
82240
82240
82240
82240
822401528
82240
82240
82240
82240
82240
82240
82730
82730
82730
82730
82730
82730
82937
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
82201
83014
83014
83014
83014
83014
83014
SPEC
IM
HPAC
FP
AN
EM
AN
OG
EM
CUMH
CUMH
PT
PT
PT
PT
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
EM
AN
SU
AMB
RADR
RADR
RADR
RADR
PSPS
FP
FP
FP
FP
FP
FP
PT
PHY
RADR
RADR
CH
AMB
AU
CH
OD
PAC
HHA
SUNS
PT
PT
PT
CUMH
CUMH
CUMH
FP
EM
AN
PSNE
FP
HSP
SU
CUMH
FP
FP
NP
NP
FP
FP
NP
PD
OG
NP
OR
IMHO
PT
CH
FP
FP
SPECIALTY_DESCR
Internal Medicine
General Acute Care Hospital
Family Practice
Anesthesiology
Emergency Medicine
Anesthesiology
Obstetrics & Gynecology
Emergency Medicine
Counselor - Mental Health
Counselor - Mental Health
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Emergency Medicine
Anesthesiology
Surgery
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Psychiatry & Neurology - Psychiatry
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Physical Therapist
Pharmacy
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Chiropractor
Audiologist
Chiropractor
Optometrist
Physician Assistant
HOME HEALTH AGENCY
Neurological Surgery
Physical Therapist
Physical Therapist
Physical Therapist
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Family Practice
Emergency Medicine
Anesthesiology
Psychiatry & Neurology - Neurology
Family Practice
HOSPITAL
Surgery
Counselor - Mental Health
Family Practice
Family Practice
Nurse Practitioner
Nurse Practitioner
Family Practice
Family Practice
Nurse Practitioner
Pediatrics
Obstetrics & Gynecology
Nurse Practitioner
Orthopaedic Surgery
Internal Medicine - Hematology & Oncology
Physical Therapist
Chiropractor
Family Practice
Family Practice
Page 42 of 57
LAST_NAME
MENOLASCINO
TURNER
ABC MEDCARE PHARMACY
PAMIDA #76
RICKER UNITED DRUGS
FRANK
ZIMMERMAN
WHITE
BYORTH
BYORTH
KLEMAN
MAININI
MORONE
SWEET
THOMETZ
WENTZELL
YAKEL
TREAT
BRANDT
BURGESS
CLOUD PEAK COUNSELING CENTER
FERGUSON
GERHARTER
GREEK
GROSS
JACKSON
JORDAN
KAY
KINZELL
MCCOUGHLAN
NEFF
REYNOLDS
ROUPE
RUSSLER
SHEARER
WARREN
WEBER
WIECKI
WISEHART
JOHNSTON
HARMAN
CHRISTENSEN
MYERS
BECKMANN
DRURY
COTTRELL
TALLMAN
CARRELL
COPELAND
THURSTON
THURSTON
BENSON
BRAMBLE
BREAZEALE
EGGLESTON
GORADIA
MITCHELL
WASHAKIE MEDICAL CENTER
WILDE
ZIMMERMAN
ANDERS
ARGERIS
BAYUK
FLINNER
FRANK
GRAHAM
NOTON
WILDE
WEAVER
SCHREIBER
CAMPBELL COUNTY/WRIGHT CLINIC
BLANCHARD
RUSSELL
JOHNSTON
ARNIO
GILLES
RESTAT
BIRKIN
OLSON
ANSARI
JOHNSON
08/22/2013
FIRST_NAME
MICHAEL
CHRISTINE
TITLE
DEBRA
EDWARD
JASON
PAUL
PAUL
GAIL
STEPHEN
MICHAEL
JAMES
ALAN
JOSEPH
DEMIAN
KIRBY
LINDA
JEANNA
CYNTHIA
LONNIE
BROCK
PAULA
STEVEN
LISA
CATHY
KERRI
JACQUELINE
ANGELA
WAYNE
GORDON
MARK
KENNETH
TIMOTHY
DALE
WENDY
DARCIE
HENRY
JANAE
RON
JEFFREY
JAMES
JOHN
CARL
PHILIP
KERISTYN
MICHAEL
JOHN
JOHN
KJELL
JOHN
BRETTON
BEN
DHAWAL
KIRK
NP
3073476165
3073476165
3073476165
3073476165
3073476165
3073476165
3073476165
3073476165
3073476958
3079212360
3073474292
3079219890
(307) 347 6958
3073476141
4062949515
(307) 347 2449
4062375760
3073472525
3073473221
(307) 347 3278
MD
MD
BENJAMIN
EDWARD
DIANA
BRETT
ROBERT
MARK
HOWARD
BEACH
DIANE
BRADLEY
GERALD
CHRISTOPHER
SHERRI
LAINE
SCOTT
MATTHEW
JEFFREY
BARRY
JOHN
SAFDAR
SANDY
PHONE
3077332855
3077332855
3073474201
3073472851
3073472281
3073478885
(307) 347 8885
3073473221
3073473221
3075277561
8003251774
3075277561
8003251774
8003251774
8003251774
8003251774
3072657205
3073474151
3073476165
3073476165
3073476165
(307) 347 6165
3073476165
3073476165
3073476165
3073476165
3073476165
3073476165
3073476165
3073476165
MD
(307) 347 3221
3073473221
3073473221
(307) 347 3221
3073473221
(307) 347 2555
(307) 347 3221
(307) 347 6933
(307) 347 6933
3073476933
(307) 347 6933
3073472555
(307) 347 6933
(307) 347 6933
3073474224
3073472405
3073473221
3076875592
3074640413
3074640413
(307) 464 0413
3076709426
3074640413
8002481062
(435) 657 4397
4356574397
(801) 213 3900
8011233900
CLINIC NAME
Wilson Medical
Wilson Medical
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
BIG HORN FAMILY MEDICINE
BIG HORN FAMILY MEDICINE
Big Horn Radiology
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
CASPER ORTHOPAEDIC ASSOCIATES, PC
Clear Image Vision Care PC
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
CLOUD PEAK COUNSELING CENTER
COMMUNITY HOSPITAL - TORRINGTON
Family Circle Counseling
FIRST CHOICE PHYSICAL THERAPY
Myers Chiropractic
NCMC SPECIALTY CLINIC
NCMC SPECIALTY CLINIC
New Castle Vision Clinic
PHILIP TALLMAN, MD
RED ROCK FAMILY PRACTICE, PC
ST VINCENT PHYSICIAN BILLING
Thurston Medical Clinic
Thurston Medical Clinic
WASHAKIE FAMILY PLANNING SERVICES
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CLINIC
WASHAKIE MEDICAL CLINIC
WASHAKIE MEDICAL CLINIC
WASHAKIE MEDICAL CLINIC
WASHAKIE MEDICAL CLINIC
WASHAKIE MEDICAL CLINIC
WASHAKIE MEDICAL CLINIC
WORLAND CHIROPRACTIC
WORLAND SURGERY CLINIC
YELLOWSTONE UROLOGY PLLC
ADVANCEPCS
CAMPBELL COUNTY HOSPITAL DISTRICT
CAMPBELL COUNTY HOSPITAL DISTRICT
CCMH WRIGHT CLINIC
Health Source Chiropractic & Progressive Rehab
Orthopaedic Specialists of Wyoming
RESTAT C/O THE F DOHMEN COMPANY
MOUNTAIN VALLEY IMAGING OF UTAH, LLP
MOUNTAIN VALLEY IMAGING OF UTAH, LLP
UNIV OF UTAH DEPT OF NEUROLOGY
UUMC MYELOMA CARE DEPART
ADDRESS1
ADDRESS2
WILSON MEDICAL
5235 HHR RANCH ROAD
WILSON MEDICAL
5235 HHR RANCH ROAD
709 ROBERTSON AVE
20TH ST & BIG HORN AVE
1801 BIG HORN AVE
BIG HORN FAMILY MEDICINE
316 N 10TH ST
316 N 10TH ST
WASHAKIE MEDICAL CENTER
400 S 15TH ST
WASHAKIE MEDICAL CENTER
400 S 15TH ST
WORLAND PHYSICIANS OUTREACH
1106 BIGHORN AVE
BILLINGS CLINIC
400 S 15TH
WORLAND PHYSICIANS OUTREACH
1106 BIGHORN AVE
BILLINGS CLINIC
400 S 15TH
BILLINGS CLINIC
400 S 15TH
BILLINGS CLINIC
400 S 15TH
BILLINGS CLINIC
400 S 15TH
CASPER ORTHOPAEDIC ASSOCIATES PC
401 S 15TH ST
CLEAR IMAGE VISION CARE PC
610 S 12TH ST
206 S 7TH ST
401 S 23RD ST
CLOUD PEAK COUNSELING CENTER
401 23RD ST
401 S 23RD ST
401 S 23RD ST
401 S 23RD ST
401 S 23RD ST
206 S 7TH ST
206 S 7TH ST
CLOUD PEAK COUNSELING CENTER
401 23RD ST
401 S 23RD ST
401 S 23RD ST
CLOUD PEAK COUNSELING CENTER
401 S 23RD ST
401 S 23RD ST
CLOUD PEAK COUNSELING CENTER
401 23RD ST
401 S 23RD ST
401 S 23RD ST
CLOUD PEAK COUNSELING CENTER
401 23RD ST
CLOUD PEAK COUNSELING CENTER
401 23RD ST
CLOUD PEAK COUNSELING CENTER
401 23RD ST
401 S 23RD ST
400 S 15TH ST
FAMILY CIRCLE COUNSELING
801 ROBERTSON AVE
120 S 17TH ST
MYERS CHIROPRACTIC
716 BIG HORN AVE
400 S 15TH ST
400 S 15TH ST
WORLAND VISION CLINIC
820 COBURN AVE
PHILIP TALLMAN MD PC
400 S 15TH ST
1125 CHARLES AVE
SVH NEUROSURGERY
1106 BIGHORN AVE
THURSTON MEDICAL CLINIC
401 S 15TH ST
WASHAKIE MEDICAL CENTER
400 S 15TH ST
1007 ROBERTSON AVE
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
400 S. 15TH ST.
400 S 15TH ST
400 S 15TH ST
400 S 15TH ST
400 S 15TH ST
1405 HOWELL
1007 ROBERTSON AVE
400 S 15TH ST
400 S 15TH ST
1405 HOWELL AVE
1405 HOWELL
1405 HOWELL AVE
400 S 15TH ST
1405 HOWELL AVE
WORLAND CHIROPRACTIC CLINIC
801 ROBERTSON
1511 CHARLES AVE
YELLOWSTONE UROLOGY
400 S 15TH ST
500 LATIGO DR
WALK IN CLINIC WRIGHT
500 LATIGO DR
WALK IN CLINIC WRIGHT
500 LATIGO DR
500 LATIGO DR
HEALTH SOURCE CHIROPRACTIC & PROGRESSIVE REHAB 105 WRIGHT BLVD
ORTHOPAEDIC SPECIALISTS OF WYOMING
500 LATIGO DR
P O BOX 758
PO BOX 302
PO BOX 302
UH HOSPITALS AND CLINICS
50 NORTH MEDICAL DR
1950 E CIRCLE OF HOPE
CITY
WILSON
WILSON
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WORLAND
WRIGHT
WRIGHT
WRIGHT
WRIGHT
WRIGHT
WRIGHT
WEST BEND
HEBER CITY
HEBER CITY
SALT LAKE CITY
SALT LAKE CITY
ST
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WI
UT
UT
UT
UT
ZIP
83014
83014
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
824013725
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
82401
824014127
82401
82401
82401
824014127
82401
82401
82401
82401
82401
82401
82401
82732
82732
82732
82732
82718
82732
530950758
84032
84032
841320001
84112
SPEC
IM
IM
PHY
PHY
PHY
FP
FP
RADR
OL
OL
DM
IM
SUNS
IMAI
IMEP
DM
OR
OD
CUMH
CUMH
CCNO
CUMH
CUMH
CUMH
PY
CUMH
CUMH
CUMH
CUMH
CUMH
NP
PY
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
CUMH
EM
CUMH
PT
CH
IM
IMCV
OD
DM
NP
SUNS
FP
FP
FP
RADR
RADR
RADR
RADR
FP
HSP
FP
FP
PAC
PAC
PY
FP
OR
FP
FP
CH
SU
SUUR
PHY
FP
FP
FP
CH
OR
PHY
RADR
RADR
PSNE
PAC
SPECIALTY_DESCR
Internal Medicine
Internal Medicine
Pharmacy
Pharmacy
Pharmacy
Family Practice
Family Practice
Radiology - Diagnostic Radiology
Otolaryngology
Otolaryngology
Dermatology
Internal Medicine
Neurological Surgery
Internal Medicine - Allergy & Immunology
Internal Medicine - Clinical Cardiac Electrophysiology
Dermatology
Orthopaedic Surgery
Optometrist
Counselor - Mental Health
Counselor - Mental Health
Clinic/Center - Rehabilitation, Comp Outpt Rehab Facility
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Psychologist
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Nurse Practitioner
Psychologist
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Emergency Medicine
Counselor - Mental Health
Physical Therapist
Chiropractor
Internal Medicine
Internal Medicine - Cardiovascular Disease
Optometrist
Dermatology
Nurse Practitioner
Neurological Surgery
Family Practice
Family Practice
Family Practice
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Family Practice
HOSPITAL
Family Practice
Family Practice
Physician Assistant
Physician Assistant
Psychologist
Family Practice
Orthopaedic Surgery
Family Practice
Family Practice
Chiropractor
Surgery
Urology
Pharmacy
Family Practice
Family Practice
Family Practice
Chiropractor
Orthopaedic Surgery
Pharmacy
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Psychiatry & Neurology - Neurology
Physician Assistant
Page 43 of 57
LAST_NAME
A & P PHARMACY
ACME PHARMACY
ALBERTSON'S PHARMACY
AMERICAN HOME PATIENT
AMERIDRUG PHARMACY
ARROW PRESCRIPTION CENTER
AURORA PHARMACY
BAKER'S PHARMACY
BARTELL DRUGS
BASHAS UNITED DRUG
BEL-AIR PHARMACY
BIG Y PHARMACY
BIGGS PHARMACY
BI-LO PHARMACY
BI-MART PHARMACY
BIOSCRIP PHARMACY
BROOKSHIRE BROTHERS, INC
BROOKSHIRE PHARMACY
BRUNO'S PHARMACY
BUEHLERS PHARMACY
CAREMARK PHARMACY
CARLE RX EXPRESS
CARRS-GOTTSTEIN FOODS
CASHWISE PHARMACY
CIGNA
CITY MARKET PHARMACY
CLINIC PHARMACY
COBORN'S PHARMACY
COMMUNITY PHARMACY
COSTCO PHARMACY
CRITICAL CARE SYSTEMS
CUB PHARMACY
CURASCRIPT PHARMACY
CVS
D & W FOOD CENTER
DAHL'S PHARMACY
DIERBERGS
DILLON PHARMACY
DISCOUNT DRUG MART
DOCS DRUGS
DOMINICK'S PHARMACY
DRUG FAIR
DRUG TOWN PHARMACY
DRUG WAREHOUSE
DRUG WORLD
DRUGS FOR LESS
DUANE READE
DULUTH CLINIC
EATON APOTHECARY
ECONOFOODS
FAGEN PHARMACY
FAIRVIEW
FAMILY FARE PHARMACY
FAMILYMEDS PHARMACY
FARM FRESH PHARMACY
FARMACIA EL AMAL
FELPAUSCH PAW PAW PHARMACY
FOOD 4 LESS PHARMACY
FOOD CITY PHARMACY
FOOD CITY UNITED DRUGS
FOOD LION PHARMACY
FOOD WORLD PHARMACY
FRED MEYER
FRED'S PHARMACY
FRED'S XPRESS
FRUTH PHARMACY
FRY'S FOOD AND DRUG
GENUARDI'S PHARMACY
GERBES PHARMACY
GIANT EAGLE PHARMACY
GIANT PHARMACY
GLEN'S PHARMACY
GOOD NEIGHBOR PHARMACY
H.E.B. PHARMACY
HAGGEN PHARMACY
HANNAFORD FOOD & DRUG
HAPPY HARRY'S
HARMONS PHARMACY
HARPS PHARMACY
HARRIS TEETER PHARMACY
HARVARD VANGUARD MEDICAL ASSOCIATION
08/22/2013
FIRST_NAME
TITLE
PHONE
4806147036
4806147036
4806147036
CLINIC NAME
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADDRESS1
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
PO BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
ADDRESS2
CITY
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
ST
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
ZIP
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
75284
752848001
752848001
752848001
752848001
752848001
752848001
752848001
SPEC
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
SPECIALTY_DESCR
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Page 44 of 57
LAST_NAME
HARVEST FOODS PHARMACY
HARVEYS SUPERMARKET PHARMACY
HEALTHPARTNERS
HEN HOUSE PHARMACY
HENRY FORD MEDICAL CENTER PHARMACY
HILANDER PHARMACY
HI-SCHOOL PHARMACY
HOMELAND PHARMACY
HORTON & CONVERSE
HY-VEE PHARMACY
INGLES PHARMACY
KASH N KARRY PHARMACIES
KERR DRUG
KESSEL PHARMACY
KINDRED PHARMACY SERVICES
KING SOOPERS #79
KINNEY DRUG, INC
KLEINS PHARMACY
KLINGENSMITH'S DRUG
KMART PHARMACY
KNIGHT DRUG
KROGER PHARMACY
KROGER SAV-ON
LONGS DRUG STORE
LOVELACE SANDIA PHARMACY
MARC'S
MARC'S PHARMACY
MARSH DRUG STORES
MARTINS PHARMACY
MAY'S DRUG STORE
MED-FAST PHARMACY
MEDIC DISCOUNT DRUGS
MEDICAL CENTER PHARMACY
MEDICINE CHEST
MEDICINE SHOPPE PHARMACY
MEDISTAT PHARMACY
MED-RX DRUG
MED-X-DRUG
MEIJER PHARMACY
MINYARD PHARMACY
MORTON PHARMACY
MR. Z'S PHARMACY
NAVARRO DISCOUNT PHARMACY
NCS HEALTHCARE
NEIGHBORCARE
NETWORK PHARMACY
NOB HILL PHARMACY
NOVA FACTOR, INC
OMNICARE PHARMACY
ONCOLOGY PHARMACY SERVICES
OPTION CARE
OSCO DRUG
OSCO PHARMACY
P & C FOOD MARKET PHARMACY
PACMED CLINIC PHARMACY
PAMIDA PHARMACY
PATHMARK PHARMACY
PATIENT FIRST PHARMACY
PAVILIONS PHARMACY
PHARMA-CARD
PHARMACARE PHARMACY
PHARMATHERA INC
PHARMERICA
PINE KNOB PHARMACY
PRICE CHOPPER PHARMACY
PRICE CUTTER PHARMACY
PUBLIX PHARMACY
QFC PHARMACY
QUALITY MARKETS
QUICK CHEK PHARMACY
QVL PHARMACY
RALEY'S DRUG CENTER
RALPHS
RANDALL'S PHARMACY
RECEPT PHARMACY
RITE AID PHARMACY
ROSAUERS PHARMACY
RPCS INC
RXD PHARMACY
SACK N SAVE PHARMACY
SAFESCRIPT PHARMACY
08/22/2013
FIRST_NAME
TITLE
PHONE
CLINIC NAME
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADDRESS1
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
ADDRESS2
CITY
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
ST
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
ZIP
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
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752848001
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752848001
752848001
SPEC
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
SPECIALTY_DESCR
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Page 45 of 57
LAST_NAME
SAMS CLUB PHARMACY
SAV-A-CENTER PHARMACY
SAVE MART PHARMACY
SAV-MOR
SAV-ON DRUGS
SAV-ON EXPRESS
SAV-ON PHARMACY
SCHNUCKS PHARMACY
SCOLARI'S
SCOTTS PHARMACY
SHAWS OSCO PHARMACY
SHELLY'S PHARMACY
SHOP N SAVE FOOD DRUG STORE
SHOP N SAVE PHARMACY
SHOPKO PHARMACY
SHOPPERS PHARMACY
SHOPRITE PHARMACY
SMART PHARMACY
SMITH'S FOOD & DRUG
SMITH'S PHARMACY
SNYDER'S DRUG STORE
SOUTHERN FAMILY MARKET
ST. JOHN PHARMACY
STATSCRIPT PHARMACY
STOP & SHOP PHARMACY
SUNSCRIPT PHARMACY
SUPER 1 PHARMACY
SUPER D DRUGS
SUPER D EXPRESS RX
SUPER FRESH PHARMACY
SUPER G DISCOUNT DRUGS
SUPER ONE PHARMACY
SUPER RX PHARMACY
SUPERFOODMART PHARMACY
SWEETBAY PHARMACY
TARGET PHARMACY
THE MEDICINE SHOPPE
THE PHARM
THRIFTWAY FOOD AND DRUG
TIMES PHARMACY
TOM THUMB PHARMACY
TOP FOOD & DRUG
TOPS PHARMACY
TOPS PHARMACY SERVICES
UKROP'S PHARMACY
UNITED PHARMACY
USA DRUG
UW HEALTH PHARMACY SERVICES
VONS PHARMACY
WALDBAUM'S PHARMACY
WALGREENS
WALMART PHARMACY
WEBER & JUDD
WEGMAN'S PHARMACY
WEIS PHARMACY
WHITE DRUG
WINN DIXIE
SURDAM
MELA
MCKESSON
SCOTT
QUEST DIAGNOSTICS DALLAS
CITY OF SAN ANTONIO-EMS
THE CASPER WY ENDOSCOPY ASC, LLC
WALGREENS SPECIALTY PHARMACY
IMES
EDGEPARK SURGICAL - DME
MDINR LLC
BUSH
CONTET
JAY
KIMBALL COUNTY HOSPITAL
PENA
PERKINS
PLATE
SMITH-SCHOHL
KIMBALL HEALTH SERVICES
HANGER PROSTHETICS & ORTHOTICS EAST
SHEDD
NATIONAL PHARMACEUTICAL SERVICES
GONDALIA
08/22/2013
FIRST_NAME
TITLE
AMY
SUZANNE
PHONE
3038609990
8884567274
JANE
NORMAN
TREVOR
TIFFANY
RICHARD
MICHAEL
GAYLE
JAMES
LISA
MICHAEL
LAKHMAN
PA-C
(800) 326 4756
(210) 227 7252
(810) 388 9346
(888) 347 3416
4056225088
(800) 307 5930
8009535574
3082351966
(308) 235 1966
3082351966
3082354611
3082351966
3082351966
3082351966
3082351966
3082351951
4024892200
(970) 392 2026
(402) 964 9030
(307) 778 2015
CLINIC NAME
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
ADVANCEPCS
CARE UNITED/URGENT CARE OF LARAMIE
OBSTETRIX MEDICAL GROUP OF COLORADO PC
WALGREENS SPECIALTY PHARMACY LLC
ST. JOSEPHS HOSPITAL
Quest Diagnostics
CITY OF SAN ANTONIO-EMS
THE CASPER WY ENDOSCOPY ASC, LLC
WALGREENS SPECIALTY PHARMACY LLC
PULMONOLOGY, INC
EDGEPARK SURGICAL
MDINR, LLC
KIMBALL COUNTY HOSPITAL
KIMBALL COUNTY HOSPITAL
KIMBALL COUNTY HOSPITAL
KIMBALL COUNTY HOSPITAL
KIMBALL COUNTY HOSPITAL
KIMBALL COUNTY HOSPITAL
KIMBALL COUNTY HOSPITAL
KIMBALL COUNTY HOSPITAL
KIMBALL HEALTH SERVICES
HANGER PROSTHETICS & ORTHOTICS EAST
BANNER HEALTH PHYSICIANS COLORADO LLC
PHARMACEUTICAL TECHNOLOGIES, INC
ALLERGY & ASTHMA CLINIC OF WY, LLC
ADDRESS1
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
P O BOX 848001
PO BOX 975681
PO BOX 840532
PO BOX 730584
PO BOX 203084
4770 REGENT BLVD.
PO BOX 158
20 BURTON HILLS BLVD.
550 NOBLESTOWN RD
1400 N PORTLAND AVE
1810 SUMMIT COMMERCE PARK
59 WINDSOR HWY
505 S BURG ST
KIMBALL HEALTH SERVICES
505 S BURG ST
111 E 2ND
505 S BURG ST
505 S BURG ST
505 S BURG ST
505 S BURG ST
505 S BURG ST
1001 S 70TH ST STE 110
2601 N SPRUCE ST
13660 CALIFORNIA ST
2ND W. 42ND ST. STE. 2800
ADDRESS2
505 S BURG ST
CITY
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
DALLAS
HOUSTON
IRVING
SAN ANTONIO
NASHVILLE
PITTSBURGH
OKLAHOMA CITY
TWINSBURG
NEW WINDSOR
KIMBALL
KIMBALL
KIMBALL
KIMBALL
KIMBALL
KIMBALL
KIMBALL
KIMBALL
KIMBALL
LINCOLN
OGALLALA
OMAHA
SCOTTSBLUFF
ST
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TN
PA
OK
OH
NY
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
ZIP
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
752848001
753975681
75284
753730584
77216
75063
782910158
37215
15251
73134
44087
125536259
691451313
691451313
69145
69145
69145
69145
69145
691451313
691451313
685107905
69153
68154
69361
SPEC
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
PHY
NP
PD
PHY
PD
LBCL
EM
CCSU
PHY
IMPU
DE
LBCL
FP
PAC
GP
HSP
FP
PAC
FP
PAC
HSP
DME
IM
PHY
AI
SPECIALTY_DESCR
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy
Nurse Practitioner
Pediatrics
Pharmacy
Pediatrics
Clinical Medical Laboratory
Emergency Medicine
Clinic/Center - Ambulatory Surgical
Pharmacy
Internal Medicine - Pulmonary Disease
Durable Medical Equipment & Medical Supplies
Clinical Medical Laboratory
Family Practice
Physician Assistant
General Practice
HOSPITAL
Family Practice
Physician Assistant
Family Practice
Physician Assistant
HOSPITAL
Internal Medicine
Pharmacy
Allergy & Immunology
Page 46 of 57
LAST_NAME
CONSIDINE
KOHLER
MARTIN
ROUSSEL
WIEDMAN
COLLIER
ROUSSEL
VOTRUBA
BOND
BURKHART
FORD
HADDEN
HOLCOMB
KEENAN
REGIONAL WEST MEDICAL CENTER LAB
REGIONAL WEST MEDICAL CTR LAB
LANDRIGAN
DIANON SYSTEMS
LABCORP
LABCORP
LABCORP
BILLINGS CLINIC/HOSPITAL
BOSCHINI
DEACONESS BILLINGS CLINIC/HOSP
DOLAN
FORD-MUKKAMALA
JONES
KNOSTMAN
BILLINGS CLINIC
BILLINGS CLINIC HOME OXYGEN & MED EQUIP
BILLINGS CLINIC HOME OXYGEN & MED EQUIP
DEACONESS BILLINGS CLINIC HOME
LAFLEUR
SHEIKO
HAWK
NAGEL
COMMUNITY HOME OXYGEN
EMPI, INC.
AMERITOX LTD
GAUL
QUEST DIAGNOSTICS CAMBRIDGE
WELCH
LEONARD
ROCHE INSULIN DELIVERY SYSTEM INC
CORAM HEALTHCARE
WALGREENS SPECIALTY PHARMACY
SLIGHT
JONES
SKY RIDGE MEDICAL CENTER
CURASCRIPT PHARMACY
APRIA HEALTHCARE INC
GRINBERG
PUSTILNIK
NAWAZ
BRIDENSTINE
FERNANDEZ
HARPER
LOVELL
CHAPMAN
YEN LABORATORIES
MALY
MCCABE LENTZ
MALY
BROWNE
ERBEN
FILKINS
JOHNSON
LING
MAIOCCO
BLEDSOE
CAMPBELL
FLANNERY
GOODYEAR
SMITH
DENZEL
PRAGER
HIRATZKA
BREWER
FAULKNER
JOHNSON
LEHMAN
08/22/2013
FIRST_NAME
PAUL
SHAUNA
JUDSON
THOMAS
JESSICA
SHAWNA
THOMAS
TROY
JOHNNA
JODENE
HALEY
DOUGLAS
ERIN
HAROLD
TITLE
DO
MD
APRN
MD
RICHARD
PHONE
(308) 635 3911
3086353911
3086353911
(308) 635 3911
3086353911
3086353911
3086353911
3086353911
3086300800
3086300800
3086300800
3086300800
(308) 630 0800
(308) 630 0800
(308) 635 3711
3086353711
3086322525
2033814000
(336) 584 9525
8003327156
4062382501
8003327156
4062382501
4062382000
4062382501
4062382501
(800) 458 6634
4066574999
4066574999
4066574999
FERNANDO
EUGENE
LAURA
DIANE
JAMES
ANDREA
MARK
ROBERTA
BEN
4066574000
(406) 238 6115
(406) 454 2171
(406) 586 1262
(800) 328 2536
4432200115
LAWRENCE
(800) 253 2743
(620) 423 1555
6204231555
(800) 280 7801
JAMES
RONALD
8883473416
KIM
JEFFREY
ABRAHAM
MICHAEL
SAMIA
MARK
PATRICK
TERESA
MARK
JAMES
TIMOTHY
JENNIFER
TIMOTHY
HILLARY
LAURA
KATIE
KATHRYN
SHEILA
AMY
MARY
DEBRA
JENNIFER
ALLISON
JOSEPH
GREGORY
JEREMY
PAUL
LAURA
SCOTT
SCOTT
CHARLES
MD
8042673700
8887737376
(719) 589 2551
3034229438
9708342588
3034938333
MD
MD
MD
MD
MD
(303) 493 7000
7208481060
(800) 211 5690
3034938333
3033609909
(970) 532 4910
9705324910
3034493594
3034493594
3034493594
3034493594
3034493594
3034493594
(303) 655 1685
(303) 655 1685
(303) 655 1685
(303) 655 1685
(303) 655 1685
(888) 216 8187
(720) 777 9545
(970) 352 6353
9708426262
9708426262
9708426200
9708426262
CLINIC NAME
OREGON TRAIL EYE CENTER, PC
OREGON TRAIL EYE CENTER, PC
OREGON TRAIL EYE CENTER, PC
OREGON TRAIL EYE CENTER, PC
OREGON TRAIL EYE CENTER, PC
OREGON TRAIL EYE SURGERY CENTER INC.
OREGON TRAIL EYE SURGERY CENTER INC.
OREGON TRAIL EYE SURGERY CENTER INC.
QUICK CARE MEDICAL SERVICES
QUICK CARE MEDICAL SERVICES
QUICK CARE MEDICAL SERVICES
QUICK CARE MEDICAL SERVICES
QUICK CARE MEDICAL SERVICES
QUICK CARE MEDICAL SERVICES
REGIONAL WEST MEDICAL CENTER
REGIONAL WEST MEDICAL CENTER
RENEW COUNSELING PC
DIANON SYSTEMS
Labcorp Holdings
Laboratory Corp of America Holdings
LABORATORY CORP OF AMERICAN HOLDINGS
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC
BILLINGS CLINIC HOME OXYGEN
BILLINGS CLINIC HOME OXYGEN & MED EQUIP
BILLINGS CLINIC HOME OXYGEN & MED EQUIP
DEACONESS BILLINGS CLINIC HOME
ST. VINCENT HEALTHCARE
WASHAKIE MEDICAL CENTER
YELLOWSTONE DERMATOLOGY PC
QUICK CARE MEDICAL SERVICES
RESPITECH HOME HEALTH CARE, INC
EMPI, INC.
AMERITOX LTD
AURORA DENVER CARDIOLOGY ASSOCIATES
QUEST DIAGNOSTICS CAMBRIDGE
CYTOCHECK LABORATORY LLC
RONALD L LEONARD DO
ROCHE INSULIN DELIVERY SYSTEM INC
CORAM ALTERNATE SITE SERVICES
WALGREENS SPECIALTY PHARMACY LLC
ST. VINCENT HEALTHCARE
MERCYCARE NORTH
SKY RIDGE MED CENTER
CURASCRIPT PHARMACY
APRIA HEALTHCARE INC
COLORADO PERMANENTE MEDICAL GROUP
AULT CHIROPRACTIC CLINIC
DEPT OF VETERANS AFFAIRS MEDICAL CENTER
UNIVERSITY PHYSICIANS
UNIVERSITY PHYSICIANS
UNIVERSITY PHYSICIANS
UPI PATH LAB 2
WASHAKIE MEDICAL CENTER
YEN LABORATORIES, INC.
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BIG THOMPSON MEDICAL GROUP
SPRUCE STREET INTERNAL MEDICINE
SPRUCE STREET INTERNAL MEDICINE
SPRUCE STREET INTERNAL MEDICINE
SPRUCE STREET INTERNAL MEDICINE
SPRUCE STREET INTERNAL MEDICINE
SPRUCE STREET INTERNAL MEDICINE
PREMIERE PEDIATRICS
PREMIERE PEDIATRICS
PREMIERE PEDIATRICS
PREMIERE PEDIATRICS
PREMIERE PEDIATRICS
GREGORY D DENZEL DO
UNIVERSITY PHYSICIANS
BANNER HEALTH PHYSICIANS COLORADO LLC
BRUSH FAMILY MEDICINE
BRUSH FAMILY MEDICINE
BRUSH FAMILY MEDICINE
BRUSH FAMILY MEDICINE
ADDRESS1
OREGON TRAIL EYE SURGERY CENTER
329 W 40TH ST
329 W 40TH ST
OREGON TRAIL EYE SURGERY CENTER
329 W 40TH ST
329 W 40TH ST
329 W 40TH ST
329 W 40TH ST
3210 AVE B
3210 AVENUE B
3210 AVE B
3210 AVE B
QUICK CARE MEDICAL SERVICES
3210 AVENUE B
4021 AVENUE B
4021 AVE B
710 GREY ST
PO BOX 2270
PO BOX 2270
PO BOX 2270
PO BOX 2270
2800 10TH AVE N
2825 8TH AVE NORTH
2800 10TH AVE N
2825 8TH AVE NORTH
1020 NORTH 27TH STREET
2825 8TH AVE NORTH
2825 8TH AVE NORTH
2825 8TH AVE N
801 N 27TH ST
801 N 27TH ST
801 N 27TH ST
PO BOX 30297
2800 10TH AVE NORTH
2900 12TH AVE N STE 240W
1400 29TH ST S
15 N 8TH ST
599 CARDIGAN RD
300 E LOMBARD ST STE 1610
PO BOX 848601
415 MASSACHUSETTS AVE
1201 CORPORATE DR
1201 CORPORATE DR
11800 EXIT 5 PARKWAY, SUITE 120
P O BOX 74805
15993 COLLECTIONS CENTER DR
DEPT CH 14287
MERCYCARE NORTH
PO BOX 403417
6272 LEE VISTA DR
1110 W AVE
PO BOX 668
120 N 2ND AVE
12605 E 16TH AVE
12605 E 16TH AVE
CHILDRENS HOSPITAL COLORADO
1635 AURORA CT
CHILDREN'S HOSPITAL - OC
13611 E COLFAX AVE
601 N CHAMBERS RD
401 10TH ST
BHCLC 10TH ST.
401 10TH ST
2575 SPRUCE ST
2575 SPRUCE ST
2575 SPRUCE ST
2575 SPRUCE ST
2575 SPRUCE ST
2575 SPRUCE ST
1606 PRARIE CTR PKWY STE #300
1606 PRARIE CTR PKWY STE #300
1606 PRARIE CTR PKWY STE #300
1606 PRARIE CTR PKWY STE #300
1606 PRARIE CTR PKWY STE #300
26 GARDEN CENTER #3C
UNIVERSITY PHYSICIANS
2400 EDISON ST
2400 W EDISON ST
2400 W EDISON ST
2400 W EDISON ST #110
2400 W EDISON ST
ADDRESS2
329 WEST 40TH ST.
329 WEST 40TH ST.
3210 AVE B
5264 COUNCIL ST NE SUITE 1
13123 EAST 16TH AVE
13123 E. 16TH AVE
401 10TH ST.
469 W. SH 7, STE. 2
CITY
SCOTTSBLUFF
SCOTTSBLUFF
SCOTTSBLUFF
SCOTTSBLUFF
SCOTTSBLUFF
SCOTTSBLUFF
SCOTTSBLUFF
SCOTTSBLUFF
SCOTTSBLUFF
SCOTTSBLUFF
SCOTTSBLUFF
SCOTTSBLUFF
SCOTTSBLUFF
SCOTTSBLUFF
SCOTTSBLUFF
SCOTTSBLUFF
SCOTTSBLUFF
BURLINGTON
BURLINGTON
BURLINGTON
BURLINGTON
BILLINGS
BILLINGS
BILLINGS
BILLINGS
BILLINGS
BILLINGS
BILLINGS
BILLINGS
BILLINGS
BILLINGS
BILLINGS
BILLINGS
BILLINGS
BILLINGS
GREAT FALLS
MILES CITY
SAINT PAUL
BALTIMORE
BOSTON
CAMBRIDGE
PARSONS
PARSONS
FISHERS
CHICAGO
CHICAGO
PALATINE
CEDAR RAPIDS
ATLANTA
ORALNDO
ALAMOSA
ARVADA
AULT
AURORA
AURORA
AURORA
AURORA
AURORA
AURORA
AURORA
BERTHOUD
BERTHOUD
BERTHOUD
BOULDER
BOULDER
BOULDER
BOULDER
BOULDER
BOULDER
BRIGHTON
BRIGHTON
BRIGHTON
BRIGHTON
BRIGHTON
BROOMFIELD
BROOMFIELD
BRUSH
BRUSH
BRUSH
BRUSH
BRUSH
ST
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NC
NC
NC
NC
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MN
MD
MA
MA
KS
KS
IN
IL
IL
IL
IA
GA
FL
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
ZIP
693614634
69361
69361
693614634
693614634
69361
69361
69361
69361
69361
69361
69361
69361
69361
69361
69361
69361
27216
272162270
272162270
27216
59101
59101
59101
59101
59101
59101
59101
59107
591010000
591010000
59101
591070297
595101
59101
59403
59301
55126
21202
02284
021394102
67357
67357
46037
60694
60693
600554287
524022409
30384
32822
81101
80001
80610
80045
80045
800457106
80045
800457106
80045
80011
80513
805131381
80513
80302
80302
80302
80302
80302
80302
80601
80601
80601
80601
80601
80020
80023
80723
80723
807231640
80723
80723
SPEC
AN
AN
OP
OP
AN
OP
OP
AN
PAC
NP
PAC
PAC
PAC
FP
LBCL
LAB
CUMH
LBCL
LBCL
LBCL
LBCL
HSP
IMCA
HSP
SUNS
IMCA
NP
IMKD
IM
DME
DME
DME
PAC
PGCL
DM
PAC
DEOX
DME
LBCL
IMCA
LBCL
PGAP
PGCL
DE
PHY
PHY
IM
FP
HSP
PHY
I
PDNN
CH
PGCL
IM
ANPD
OG
LBCL
IMCV
LBCL
FP
FP
FP
IM
IM
DIR
PAC
IM
IM
PD
PD
PD
PD
PD
FP
OL
OG
PAC
IM
FP
FP
SPECIALTY_DESCR
Anesthesiology
Anesthesiology
Ophthalmology
Ophthalmology
Anesthesiology
Ophthalmology
Ophthalmology
Anesthesiology
Physician Assistant
Nurse Practitioner
Physician Assistant
Physician Assistant
Physician Assistant
Family Practice
Clinical Medical Laboratory
LABORATORY
Counselor - Mental Health
Clinical Medical Laboratory
Clinical Medical Laboratory
Clinical Medical Laboratory
Clinical Medical Laboratory
HOSPITAL
HOSPITAL
Neurological Surgery
Nurse Practitioner
Internal Medicine - Nephrology
Internal Medicine
DURABLE MEDICAL EQUIPMENT
DURABLE MEDICAL EQUIPMENT
Physician Assistant
Pathology - Anatomic Pathology & Clinical Pathology
Dermatology
Physician Assistant
Durable Medical Equipment & Medical Supplies - Oxygen
Clinical Medical Laboratory
Clinical Medical Laboratory
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology & Clinical Pathology
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy
Internal Medicine
Family Practice
HOSPITAL
Pharmacy
Pediatrics - Neonatal
Chiropractor
Pathology - Anatomic Pathology & Clinical Pathology
Internal Medicine
Anesthesiology - Pediatric Anesthesiology
Obstetrics & Gynecology
Clinical Medical Laboratory
Internal Medicine - Cardiovascular Disease
Clinical Medical Laboratory
Family Practice
Family Practice
Family Practice
Internal Medicine
Internal Medicine
Dietitian, Registered
Physician Assistant
Internal Medicine
Internal Medicine
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Family Practice
Otolaryngology
Obstetrics & Gynecology
Physician Assistant
Internal Medicine
Family Practice
Family Practice
Page 47 of 57
LAST_NAME
NIXON
PAYNTER
SMILEY
STALKER
STATZ
TALLURI
CALVINO
COOK
DILLEY
DOLL
MAEDER
MCCLURE
RATNARAJAH
SAMPLES
WEISSER
IVY
FREEMAN
ASPLUND
DASH
HEASLEY
HONEBRINK
HULL
KANESHIRO
SHAHAL
STOFFEL
VENRICK
KOVAR
FRANKLIN
CECALUPO
AL CHEKAKIE
STIGLER
GORALNIK
STEVENS
STANLEY-GILDE
BALL
HOUTZ
WALKER
HOVLAND
DUMAN
QUEST DIAGNOSTICS
SHURE
KINCANNON
NUMOTION
PETTERSEN
WILLIAMS
KERSTEN
MANSON
WARHOE
GALLAGHER
ORSINI
VENRICK
BURDINE
RAUSCH
BARKER
BARKER
LYONS
MORGAN
PEARCE
LYONS
MORGAN
PEARCE
CORAM HEALTHCARE OF WYOMING
CAWLEY
BERKOWITZ
BODENHAMER
CONTRERAS
CRAVEN
DESRUISSEAU
DUNPHY
FLEENER
FLORANT
FULLER
GEIS
GERAGHTY
GUNDERSON
HAYES
HENNEMANN
JESS
JOHNSON
KOPLYAY
LIMBAUGH
08/22/2013
FIRST_NAME
NED
CAROL
JUSTIN
ERIN
LILA
JAYANTH
HARRY
JAY
LYNN
CHRISTOPHER
GREGORY
RALPH
GOKULAN
NANCY
KIMBERLY
ZACCARIAH
PATRICK
SHERYL
ARUNA
DIANE
THEODORE
MICHAEL
DAVID
SHALINI
PHILIP
MICHAEL
DAVID
ALLISON
ANTHONY
M
DEL
CYNTHIA
SYDNEY
KRISTIN
JAMES
MICHAEL
JENNIFER
KENNETH
LOUIS
TITLE
9708426262
9708426262
(970) 842 6262
9708422273
MD
MD
MD
MD
DO
MD
MD
MD
MD
MD
DO
MARTIN
ELIZABETH
MICHAEL
GERALD
ROBERT
RICHARD
KIRSTEN
JOHN
EDMUND
MICHAEL
VIRGINIA
CHRISTOPHER
LANCE
LANCE
MARIANNE
DANA
DARLA
MARIANNE
DANA
DARLA
JOHN
BRUCE
JOHN
JAIME
WINFIELD
RICHARD
THOMAS
CHRIS
TRACY
SAMUEL
J
MICHAEL
DEBORAH
AMY
JEANNE
SARAH
PAUL
PETER
KEVIN
PHONE
(970) 842 6262
9708426262
9708725010
(970) 842 6200
(970) 842 6200
9708426200
(970) 842 6200
9708426262
9708426262
7209790840
3032886845
(303) 512 0888
(866) 281 3494
(866) 281 3494
(866) 281 3494
(303) 512 0888
(303) 512 0888
(866) 281 3494
(866) 281 3494
3038397100
(303) 831 6162
3038322462
3074323855
3038317335
3039148800
3039148800
3038135000
3038322344
3032267235
3033019019
3037781910
3038322425
(303) 899 6000
3038319393
3038377885
(303) 781 1474
3038609933
3034688844
3038631535
3036293770
3038316100
8002115690
(877) 268 0407
MD
DO
DO
DO
MD
FNP
MD
(970) 395 7878
(970) 454 3838
(970) 454 3838
(970) 454 3838
(970) 454 3838
9704543838
9704543838
9704543838
(303) 799 0093
9702299800
9704844757
9704844757
9704844757
9704844757
9704844757
9704844757
9704844757
9704844757
9704844757
9704844757
9704844757
9704844757
9704844759
9704844758
9704844757
9704844757
9704844757
(970) 495 0860
CLINIC NAME
BRUSH FAMILY MEDICINE
BRUSH FAMILY MEDICINE
BRUSH FAMILY MEDICINE
BRUSH FAMILY MEDICINE
BRUSH FAMILY MEDICINE
BRUSH FAMILY MEDICINE
EAST MORGAN COUNTY HOSPITAL
EAST MORGAN COUNTY HOSPITAL
EAST MORGAN COUNTY HOSPITAL
EAST MORGAN COUNTY HOSPITAL
EAST MORGAN COUNTY HOSPITAL
EAST MORGAN COUNTY HOSPITAL
EAST MORGAN COUNTY HOSPITAL
EAST MORGAN COUNTY HOSPITAL
EAST MORGAN COUNTY HOSPITAL
HEALTHONE CLINIC SVS PED SPECIALTIES LLC
PROVENANT CLINIC PHYSICIAN
APP-UNIPATH, LLC
APP-UNIPATH, LLC
APP-UNIPATH, LLC
APP-UNIPATH, LLC
APP-UNIPATH, LLC
APP-UNIPATH, LLC
APP-UNIPATH, LLC
APP-UNIPATH, LLC
APP-UNIPATH, LLC
AURORA DENVER CARDIOLOGY ASSOCIATES
BULOW PROVIDER NETWORK, LLC
CHILDHOOD HEMATOLOGY ONCOLOGY ASSOCIATES
COMMUNITY HOSPITAL - TORRINGTON
DEL STIGLER M.D.
DIVERSIFIED RADIOLOGY OF COLORADO
DIVERSIFIED RADIOLOGY OF COLORADO
EXEMPLA INC.
HEALTHONE CLINIC SVS PED SPECIALTIES LLC
HEALTHONE CLINIC SVS PED SPECIALTIES LLC
HEALTHONE CLINIC SVS PED SPECIALTIES LLC
KENNETH R. HOVLAND M.D.
LOUIS DUMAN M.D.
METWEST INC.
MIDTOWN OCCUPATIONAL HEALTH
MOUNTAIN STATES MATERNAL
NUMOTION
OBSTETRIX MEDICAL GROUP OF COLORADO PC
OBSTETRIX MEDICAL GROUP OF COLORADO PC
PARK AVENUE OCULOPLASTIC SURGERY
RICHARD MANSON M.D.
SUMMIT RADIATION ONCOLOGY, PC
SURGICAL CONSULTANTS OF DENVER
TCH PHYSICIANS GROUP
UNIPATH, LLC
UNIPATH, PC PCCL
UNIVERSITY PHYSICIANS
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
CORAM HEALTHCARE OF WYOMING
ASSOCIATES IN FAMILY MEDICINE
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADDRESS1
2400 W EDISON ST
2400 W EDISON ST
2400 WEST EDISON ST
2400 W EDISON ST
2400 EDISON ST
2400 W EDISON ST
2400 W EDISON ST
2400 W EDISON ST
2400 W EDISON ST
EAST MORGAN COUNTY HOSPITAL
2400 EDISON ST.
2400 W EDISON ST
2400 EDISON ST.
2400 W EDISON ST
2400 EDISON ST
1400 E ARAPAHOE RD STE 300
6145 EAST 72ND AVE
6116 E WARREN AVE
APP UNIPATH LLC
APP UNIPATH LLC
APP UNIPATH
APP UNIPATH LLC
6116 E WARREN AVE
APP-UNIPATH, LLC
APP-UNIPATH, LLC
APP UNIPATH LLC
1601 E 19TH AVE
1601 E. 19TH AVE STE. 5200
1800 WILLIAMS ST
DEPT 2186
2005 FRANKLIN ST STE 490
PO BOX 173840
PO BOX 173840
600 GRANT ST STE 500
2055 HIGH ST STE 340
2055 HIGH ST #210
2055 HIGH ST STE 110
850 E HARVARD AVE STE 505
2005 FRANKLIN ST STE 370
695 S BROADWAY
2005 FRANKLIN ST STE 150
2005 FRANKLIN ST STE 1-750
9197 W 6TH AVE STE 1000
2055 HIGH ST STE 230
1601 E 19TH ST STE 5050
1800 EMERSON ST STE 200
2005 FRANKLIN ST STE 610
DEPT 1891
1601 E 19TH AVE STE 4500
PO BOX 1556
6116 E WARREN AVE
PRES ST LUKES OP
DEPT 1061
BHCLC CHERRY 1
BHCLC CHERRY 1
100 S CHERRY AVE UNIT 100
100 S CHERRY AVE UNIT 1
100 S CHERRY AVE UNIT 1
100 S CHERRY AVE UNIT 100
100 S CHERRY AVE UNIT 1
100 S CHERRY AVE UNIT 1
12450 E ARAPAHOE STE A1
2025 BIGHORN DR
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
PO BOX 270580
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
ADVANCED MEDICAL IMAGING CONSULTANTS PC
ADDRESS2
2400 EDISON ST.
6116 E WARREN AVE
6116 E WARREN AVE
6116 E WARREN AVE.
6116 E WARREN AVE
6116 E. WARREN AVE.
6116 E. WARREN AVE.
6116 E WARREN AVE
1719 E 19TH ST
100 S. CHERRY AVE. UNIT 1
100 S. CHERRY AVE. UNIT 1
2008 CAIBOU DR
CITY
BRUSH
BRUSH
BRUSH
BRUSH
BRUSH
BRUSH
BRUSH
BRUSH
BRUSH
BRUSH
BRUSH
BRUSH
BRUSH
BRUSH
BRUSH
CENTENNIAL
COMMERENCE CITY
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
DENVER
EATON
EATON
EATON
EATON
EATON
EATON
EATON
EATON
ENGLEWOOD
FORT COLLIN
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
ST
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
ZIP
807231640
807231640
80723
807231640
807231640
80723
80723
80723
80723
807231640
807231640
80723
807231640
80723
807231642
801124028
80022
80222
802225703
802225752
802225752
802225752
802225752
802225703
802225703
802225703
80218
80218
80218
802912186
80205
80217
80217
80203
802055504
802055504
802055504
80210
80205
80209
80205
80205
80215
80205
80218
80218
80205
80291
80218
80201
80222
802181235
802561061
806158256
806158256
806158256
806158256
806158256
806158256
806158256
806158256
80112
80525
80525
80525
80525
80525
80525
80525
80525
80525
80525
80525
80525
80525
80525
80527
80525
80525
80525
80525
SPEC
FP
PAC
FP
NPFA
FP
FP
EM
RADR
FP
FP
FP
FP
IM
NPFA
PAC
PAC
FP
PGCL
PGCL
PGCL
PGCL
PGCL
PGAP
PGLB
PGCL
PGCL
IMCV
RE
IMON
IMCV
PD
RADR
RADR
FP
PDHE
PAC
AU
SUPD
IM
LBCL
IM
PDNN
DME
PD
PD
OP
OP
RAON
SU
PGAP
PGAP
PGAP
PDCA
IM
IM
FP
FM
NPFA
FP
FP
NP
DME
FP
RADR
RADR
RADR
RADR
RADR
RADR
RADR
RADR
RADR
RADR
RADR
RADR
RADR
RADR
RADR
RADR
RADR
RADR
SPECIALTY_DESCR
Family Practice
Physician Assistant
Family Practice
Nurse Practitioner - Family
Family Practice
Family Practice
Emergency Medicine
Radiology - Diagnostic Radiology
Family Practice
Family Practice
Family Practice
Family Practice
Internal Medicine
Nurse Practitioner - Family
Physician Assistant
Physician Assistant
Family Practice
Pathology - Anatomic Pathology & Clinical Pathology
Pathology - Anatomic Pathology & Clinical Pathology
Pathology - Anatomic Pathology & Clinical Pathology
Pathology - Anatomic Pathology & Clinical Pathology
Pathology - Anatomic Pathology & Clinical Pathology
Pathology - Anatomic Pathology
Pathology - Clinical Pathology/Laboratory Medicine
Pathology - Anatomic Pathology & Clinical Pathology
Pathology - Anatomic Pathology & Clinical Pathology
Internal Medicine - Cardiovascular Disease
Physical Medicine & Rehabilitation
Internal Medicine - Medical Oncology
Internal Medicine - Cardiovascular Disease
Pediatrics
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Family Practice
Pediatrics - Pediatric Hematology
Physician Assistant
Audiologist
Surgery - Pediatric Surgery
Internal Medicine
Clinical Medical Laboratory
Internal Medicine
Pediatrics - Neonatal
Pediatrics
Pediatrics
Ophthalmology
Ophthalmology
Radiology - Radiation Oncology
Surgery
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology
Pediatrics - Pediatric Cardiology
Internal Medicine
Internal Medicine
Family Practice
Nurse Practitioner - Family
Family Practice
Family Practice
Nurse Practitioner
Family Practice
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Page 48 of 57
LAST_NAME
LUTTENEGGER
MARKEL
PACINI
PECK
REESE
SINGER
WEINSTEIN
WEISSMANN
ABRAHAMSON
ABRAHAMSON
ANDERSON
BARNES
BRICKL
BROMAN
GUIROY
HARROLD
HENDERSON
HERON
KESLER
KLINGNER
LINDSEY
LOCKWOOD
MAES
MCCARTHY
MCCREERY
MURPHY
NEVRIVY
PODHAJSKY
ROBINSON
ROTMAN
RUBRIGHT
SCHMIDT
SIPLE
STEPHENS
TIPPIN
UNGER
VAN FAROWE
WEISKITTEL
WIDEMAN
WILSON
ALBRITTON-MCDONALD
CRANE
DETTERER
DOFT
GEORGE
GOTHAM
HOFMEISTER
KURTH
KURTH
SCHAFFER
SLACK
TAYLOR
ALBRITTON-MCDONALD
BUDD
CRANE
GOTHAM
HOFMEISTER
KUJAWSKA
KURTH
SCHAFFER
SOKOLOWSKI
TAYLOR
STAMPS
FOSTER
COX
ESOLA
FORT COLLINS RADIOLOGIC ASSOC
MILLS
PAQUELET
PEET
ANDERSON
BAILEY
BALLARD
BATEZEL
BROCKWAY
GUENTHER
HANNIFAN
HANSON
MCGINNIS
O'BRIEN
SAMPERA
08/22/2013
FIRST_NAME
THOMAS
CURTIS
RICHARD
STEVEN
MARK
CHARLES
STANLEY
JEFFREY
BRADLEY
LARA
ROBERT
LISA
IAN
STEVEN
JESSICA
PAMEAL
SANDRA
TODD
JAMES
SUSAN
REBECCA
STEPHANIE
ELIZABETH
VICTORIA
COLLEEN
LAWRENCE
THOMAS
TIMOTHY
ANNE
MARK
JON
DAVID
ANNE
FLOYD
STEVEN
MARK
CYNTHIA
DEBORAH
JD
FIONA
CAROYLYN
JOHN
SHARI
ANTHONY
ANIA
CAROL
JENNIFER
JAY
JAY
SCOTT
KENNETH
GRANT
CAROYLYN
LESLIE
JOHN
CAROL
JENNIFER
ANNA
JAY
SCOTT
IRENE
GRANT
DARCY
GARY
PATRICK
CHRISTINE
ANDREW
JEAN
GARY
CAROLE
AMY
ELIZABETH
ROXANNE
JULIE
JOHN
KATHLEEN
VAUGHN
JAMES
BARRY
KIRSTEN
TITLE
LCSW
PA
LCSW
MD
MD
NP
MD
MD
PA-C
DO
DO
MD
DO
MD
PHONE
9704844757
9704844757
9704844757
(970) 484 4757
9704844757
9704844757
9704844757
9704844757
9704841757
9702250040
9702040300
(970) 224 1670
9704944040
9704841757
(970) 225 0040
9702215255
(970) 229 9800
(970) 224 1670
9702241670
(970) 229 9800
(970) 225 0040
(970) 204 0300
(970) 495 6213
9702250040
(970) 204 0300
9702250040
9702040300
9702299800
9704841757
9702215255
9702040300
9702215255
(970) 229 9800
9702040300
9702299800
9702250040
9702241670
9702250040
9702040300
9704841757
(970) 461 8031
(970) 667 2009
(970) 223 2272
(970) 223 2272
(970) 461 8031
(970) 667 2009
(970) 203 0047
(970) 223 2272
(970) 461 8031
(970) 204 9069
(970) 204 9069
9704618031
9702049069
9702049069
9704618031
9702049069
9702049069
9702049069
9704616031
9702049069
9702049069
9704023635
9702212222
9704844757
9704844757
(970) 484 4757
9704844757
9704844757
9704844757
9702679510
9702679510
9702679510
9702679510
(970) 267 9510
9702679510
(970) 482 2515
9702679510
9702213489
(970) 267 9510
9702679510
CLINIC NAME
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ADVANCED MEDICAL IMAGING CONSULTANTS
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
DARCY STAMPS MA
EYE CENTER OF NORTHERN COLORADO
FORT COLLINS RADIOLOGIC ASSOC
FORT COLLINS RADIOLOGIC ASSOC
FORT COLLINS RADIOLOGIC ASSOC
FORT COLLINS RADIOLOGIC ASSOC
FORT COLLINS RADIOLOGIC ASSOC
FORT COLLINS RADIOLOGIC ASSOC
FORT COLLINS YOUTH CLINIC
FORT COLLINS YOUTH CLINIC
FORT COLLINS YOUTH CLINIC
FORT COLLINS YOUTH CLINIC
FORT COLLINS YOUTH CLINIC
FORT COLLINS YOUTH CLINIC
FORT COLLINS YOUTH CLINIC
FORT COLLINS YOUTH CLINIC
FORT COLLINS YOUTH CLINIC
FORT COLLINS YOUTH CLINIC
FORT COLLINS YOUTH CLINIC
ADDRESS1
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
1107 S LEMAY STE 200
1113 OAKRIDGE DR
3519 RICHMOND DR
ASSOCIATES IN FAMILY MEDICINE
1635 BLUE SPRUCE DR
1107 S LEMAY STE 200
1113 OAKRIDGE DR
2001 S SHIELDS BLDG I
2025 BIGHORN DR
3519 RICHMOND DR
3519 RICHMOND DR
2025 BIGHORN DR
3519 RICHMOND DR.
3519 RICHMOND DR
ASSOCIATES IN FAMILY MEDICINE
2001 S SHEILDS BLDG I
3519 RICHMOND DR
1113 OAKRIDGE DR
3519 RICHMOND DR
2025 BIGHORN DR
1107 S LEMAY STE 200
2001 S SHEILDS BLDG I
3519 RICHMOND DR
2001 S SHEILDS BLDG I
2025 BIGHORN DR
3519 RICHAMOND DR
2025 BIGHORN DR
1113 OARKRIDGE DR
3519 RICHMOND DR
1113 OAK RIDGE DR
3519 RICHMOND DR
1107 S LEMAY STE 200
303 COLLAND DR
608 E HARMONY RD STE 101
8201 SPINNAKER BAY DR STE D
8201 SPINNAKER DR STE D
BHCLC HARMONY
303 COLLAND DR
608 E HARMONY RD STE 101
608 E HARMONY RD STE 101
BANNER HEALTH PHYSICIANS COLORADO LLC
303 COLLAND DR
BANNER HEALTH PHYSICIANS COLORADO LLC
608 E HARMONY RD STE 101
303 COLLAND DR
608 E HARMONY RD STE 101
608 E HARMONY RD STE 101
303 COLLAND DR
608 E HARMONY RD STE 101
608 E HARMONY RD STE 101
608 E HARMONY RD STE 101
303 COLLAND DR
608 E HARMONY RD STE 101
608 E HARMONY RD STE 101
417 S HAWES ST
1725 E PROSPECT RD
2008 CARIBOU DR
2008 CARIBOU DR
1236 E ELIZABETH STE 2
2008 CARIBOU DR
2008 CARIBOU DR
2008 CARIBOU DR
1200 E ELIZABETH ST
1200 E ELIZABETH ST
1200 E ELIZABETH ST
1200 E ELIZABETH ST
1200 E ELIZABETH ST
1214 OAK PARK DR
FORT COLLINS YOUTH CLINIC
1200 E ELIZABETH ST
1200 E ELIZABETH ST
1200 E ELIZABETH ST
1200 E ELIZABETH ST
ADDRESS2
2025 BIGHORN ROAD
3702 AUTOMATION WAY SUITE 103
608 E. HARMONY RD. STE. 101
8201 SPINNAKER BAY DR STE D
608 E HARMONDY RD STE 101
1200 E ELIZABETH ST
CITY
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
ST
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
ZIP
80525
80525
80525
80525
80525
80525
80525
80525
80524
80525
80526
805253480
80524
80524
80525
80526
80525
80526
80526
80525
80526
80526
805255738
80525
80526
80525
80526
80525
80524
80526
80526
80526
805253480
80526
80525
80525
80526
80525
80526
80524
80525
80525
80528
80528
805253210
80525
80525
80525
805287534
805254205
805253210
80528
80525
80525
80525
80525
80525
80526
80525
805254205
80525
80528
80521
80525
80525
80525
80524
80525
80525
80525
80524
80524
80524
80524
80524
80525
80524
80524
80524
80524
80524
SPEC
RADR
RADR
RADR
RADR
RADR
RADR
RADR
RADR
FP
FP
FP
CUMH
FP
FP
FP
PAC
FP
PAC
FP
FP
CU
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
OGGY
NP
FP
AI
FNP
PAC
IMEN
IMEN
FP
OGGY
FP
FP
OG
OG
NPFA
PAC
AI
FP
FP
OG
FP
CUMH
OP
RADR
RADR
RADR
RADR
RADR
RADR
PD
PD
PD
SLP
PD
PD
PD
PD
PD
PD
PD
SPECIALTY_DESCR
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Family Practice
Family Practice
Family Practice
Counselor - Mental Health
Family Practice
Family Practice
Family Practice
Physician Assistant
Family Practice
Physician Assistant
Family Practice
Family Practice
Counselor
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Obstetrics & Gynecology - Gynecology
Nurse Practitioner
Family Practice
Allergy & Immunology
Unmapped Specialty Description
Physician Assistant
Internal Medicine - Endocrinology, Diabetes & Metabolism
Internal Medicine - Endocrinology, Diabetes & Metabolism
Family Practice
Obstetrics & Gynecology - Gynecology
Family Practice
Family Practice
Obstetrics & Gynecology
Obstetrics & Gynecology
Nurse Practitioner - Family
Physician Assistant
Allergy & Immunology
Family Practice
Family Practice
Obstetrics & Gynecology
Family Practice
Counselor - Mental Health
Ophthalmology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Pediatrics
Pediatrics
Pediatrics
Speech Language Pathologist
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Page 49 of 57
LAST_NAME
GIRARDI
SCHNEIDER
TOOL
BERESFORD
DONNELLEY
JAMES
JEFFREY
KING
KOZAK
LUDWIN
MICETICH
PRIEBE
SERNIAK
STERN
TOOL
VANCE
YEH
LANDIS
DENMARK
CAMPBELL
REICHERT
TOWBIN
BENDER
BUHL
BURNHAM
DEYOUNG
ELFFNER
GERAETS
LOWTHER
MENEFEE
REICHERT
RODRIGUEZ
SCHINDLER
SILVAS
TAYLOR
WEIXELMAN
YOUNG
SEETON
TURK
LOEB
OTTOLENGHI
ALESSI
BOBO
CALABRESE
CARLINE
CARTER
CLAPP
COCHRAN
DERRISAW
DUNN JR.
EISENMENGER
FIFE
FORD
HARRISON
HODGES
KIRSCH
KOEPP
KROHN
KUIPERS
LICHON
MARKS
MARKUS
MARLEY
MILLER
MOSS
NCAP, LLP
NEPERUD
OLSEN
PENATE
PERSCHAU
PETERSON
RAYMOND
RECHNITZ
REED
RENGER
RICHARDSON
SALIMBENI
SERELL
STENBAKKEN
VELASCO
VIZENA
08/22/2013
FIRST_NAME
GEORGE
MICHAEL
AUDREY
KAEA
BEVERLY
WARREN
RANSY
ANGELA
SUSAN
GARY
KARA
PHILIP
ELIZABETH
J
KEVIN
MAUDE
ERIC
JULIA
LAWRENCE
KAREN
BRYAN
MICHAEL
JOHN
AMBER
LINDA
DOUGLAS
TERRI
MINDY
KELLY
JULIE
BRYAN
JUAN
ALLISON
VICKIE
GRANT
JANICE
LINDSAY
JAMES
LAURA
MARK
DAVID
RICHARD
RUSSELL
TROY
MARYLIDA
MICHAEL
TERRA
THOMAS
JAMES
DUANE
MICHAEL
JASON
TROY
WILLIAM
KATHLEEN
TIMOTHY
JEFFREY
DOUGLAS
BRIAN
AMY
SANDY
JENNIFER
REX
JUSTIN
WILLIAM
JEANNE
KIMBERLEE
ROBERT
ERIK
STEVEN
JEFFERY
GARY
JAY
HARTMUT
EMILY
JULIO
SEAN
GELERIE
STEPHEN
ANNETTE
TITLE
MD
LPC
MD
MD
MD
PHONE
(970) 495 0506
(970) 495 7933
(970) 493 7442
9704937442
9704937442
9704937442
9704937442
9704937442
(970) 493 7442
9704937442
(970) 493 7442
9704937442
9704937442
9704937442
9704937442
9704937442
9704937442
(970) 495 6976
9702186778
9704827800
9704827800
9704827800
(970) 482 0213
(970) 482 0213
(970) 482 0213
(970) 482 0213
(970) 482 0213
(970) 482 0213
(970) 482 0213
(970) 482 0213
(970) 482 0213
(970) 482 0213
(970) 482 0213
(970) 482 0213
(970) 482 0213
(970) 482 0213
3034357161
9702376339
9702213855
9702213855
9704840722
9704840722
9704840722
9704840722
(970) 484 0722
9704840722
9704840722
9704840722
(970) 484 0722
(970) 484 0722
9704840722
9704840722
9704840722
9704840722
9704840722
9704840722
9704840722
9704840722
9704840722
(970) 484 0722
9704840722
9704840722
9704840722
9704840722
9704840722
9704840722
9704840722
9704840722
9704840722
9704840722
9704840722
9704840722
9704840722
9704840722
9704840722
9704840722
CLINIC NAME
ADDRESS1
FRONT RANGE PAIN MEDICINE
3744 S TIMBERLINE RD STE 102
FT COLLINS WOMENS CLINIC DBA ROCK MOUNTAIN PERINATOLOGY
1107 S LEMAY STE 140
FT COLLINS WOMENS CLINIC DBA WOMEN'S CLINIC OF NORTHERN
1107 SOUTH
CO
LEMAY, ST 300
FT COLLINS WOMENS CLINIC OF NORTHERN COL
1107 S LEMAY ST 300
FT COLLINS WOMENS CLINIC OF NORTHERN COL
1107 S LEMAY ST 300
FT COLLINS WOMENS CLINIC OF NORTHERN COL
1107 S LEMAY ST 300
FT COLLINS WOMENS CLINIC OF NORTHERN COL
1107 S LEMAY ST 300
FT COLLINS WOMENS CLINIC OF NORTHERN COL
1107 S LEMAY AVE STE 300
FT COLLINS WOMENS CLINIC OF NORTHERN COL
1107 S LEMAY ST 300
FT COLLINS WOMENS CLINIC OF NORTHERN COL
1107 S LEMAY ST 300
FT COLLINS WOMENS CLINIC OF NORTHERN COL
1107 S LEMAY ST 300
FT COLLINS WOMENS CLINIC OF NORTHERN COL
1107 S LEMAY ST 300
FT COLLINS WOMENS CLINIC OF NORTHERN COL
1107 S LEMAY ST 300
FT COLLINS WOMENS CLINIC OF NORTHERN COL
1107 S LEMAY AVE STE 300
FT COLLINS WOMENS CLINIC OF NORTHERN COL
1107 S LEMAY ST 300
FT COLLINS WOMENS CLINIC OF NORTHERN COL
1107 S LEMAY STE 300
FT COLLINS WOMENS CLINIC OF NORTHERN COL
1107 S LEMAY AVE STE 300
JULIA M. LANDIS
503 REMINGTON ST.
LAWRENCE DENMARK
315 W OAK ST 5TH FL
MEDICAL ACUPUNCTURE OF NORTHERN COLORADO
1217 RIVERSIDE AVE
MEDICAL ACUPUNCTURE OF NORTHERN COLORADO
1217 RIVERSIDE AVE
MEDICAL ACUPUNCTURE OF NORTHERN COLORADO
1217 RIVERSIDE AVE
MIRAMONT FAMILY MEDICINE
4674 SNOW MESA DR STE 140
MIRAMONT FAMILY MEDICINE
4674 SNOW MESA DR STE 140
MIRAMONT FAMILY MEDICINE
4674 SNOW MESA DR STE 140
MIRAMONT FAMILY MEDICINE
4674 SNOW MESA DR STE 140
MIRAMONT FAMILY MEDICINE
4674 SNOW MESA DR STE 140
MIRAMONT FAMILY MEDICINE
4674 SNOW MESA DR STE 140
MIRAMONT FAMILY MEDICINE
4674 SNOW MESA DR STE 140
MIRAMONT FAMILY MEDICINE
4674 SNOW MESA DR STE 140
MIRAMONT FAMILY MEDICINE
4674 SNOW MESA DR STE 140
MIRAMONT FAMILY MEDICINE
4674 SNOW MESA DR STE 140
MIRAMONT FAMILY MEDICINE
4674 SNOW MESA DR STE 140
MIRAMONT FAMILY MEDICINE
1014 CENTRE AVE
MIRAMONT FAMILY MEDICINE
4674 SNOW MESA DR STE 140
MIRAMONT FAMILY MEDICINE
4674 SNOW MESA DR STE 140
MIRAMONT FAMILY MEDICINE
4674 SNOW MESA DR STE 140
MIRAMONT LIFESTYLE MEDICINE
2211 S COLLEGE AVE UNIT 300
MIRAMONT LIFESTYLE MEDICINE
2211 S COLLEGE AVE UNIT 300
MOUNTAIN VIEW FAMILY MEDICINE
2121 E HARMONY RD STE 310
MOUNTAIN VIEW FAMILY MEDICINE
2121 E HARMONY RD STE 310
NCAP, LLP
1241 RIVERSIDE AVE STE 200
NCAP, LLP
1241 RIVERSIDE AVE STE 2000
NCAP, LLP
2500 E ELIZABETH STE 2
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
POUDRE VALLEY HOSPITAL
NCAP, LLP
DBA EYE SURGERY CENTER
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
POUDRE VALLEY HOSPITAL / IP
NCAP, LLP
POUDRE VALLEY HOSPITAL/OP
NCAP, LLP
2127 E HARMONY RD #200
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
1236 E ELIZABETH, STE 2
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
3351 EASTBROOK DR STE 10
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
1236 E ELIZABLETH ST STE 2
NCAP, LLP
1241 RIVERSIDE AVE STE 200
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
DBA EYE SURGERY CENTER
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
2500 E PROSPECT RD
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
DBA EYE SURGERY CENTER
NCAP, LLP
1236 E ELIZABETH STE 2
NCAP, LLP
1241 RIVERSIDE AVE STE 200
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
1236 E ELIZABETH ST STE 2
NCAP, LLP
1236 E ELIZABETH ST STE 2
ADDRESS2
1024 LEMAY AVE
1024 LEMAY AVE
1024 LEMAY AVE.
CITY
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
ST
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
ZIP
80528
80524
80524
80524
80524
80524
80524
80524
80524
80524
80524
80524
80524
80524
80524
80524
80524
80524
80521
80524
80524
80524
80528
80528
80528
80528
80528
80528
80528
80528
80528
80528
80528
805261849
80528
80528
80528
80528
80528
805283403
80528
80524
80524
805244000
80524
805243929
805251307
80524
80524
805243929
805243929
805283407
80524
80524
80524
80524
80524
80524
80524
80525
80524
80524
80524
80524
80524
80524
805251307
80524
805259718
80524
805251307
805244000
80524
80524
80524
80524
80524
80524
80524
80524
80524
SPEC
AN
OG
OG
OG
OG
OG
OG
OG
OGGY
OG
OGGY
OG
OG
OG
OG
OG
OG
CU
CUMH
FP
FP
FP
FP
PAC
FP
FP
PAC
NP
FP
PAC
FP
FP
PAC
PAC
FP
FP
PAC
FP
NPFA
FP
FP
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
AN
SPECIALTY_DESCR
Anesthesiology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology - Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology - Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology
Counselor
Counselor - Mental Health
Family Practice
Family Practice
Family Practice
Family Practice
Physician Assistant
Family Practice
Family Practice
Physician Assistant
Nurse Practitioner
Family Practice
Physician Assistant
Family Practice
Family Practice
Physician Assistant
Physician Assistant
Family Practice
Family Practice
Physician Assistant
Family Practice
Nurse Practitioner - Family
Family Practice
Family Practice
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Anesthesiology
Page 50 of 57
LAST_NAME
WATROUS
WILLIAMS
BOOTH
GRUNLOH
HULL
MARKLEY
OTTOLENGHI
GUNDERSON
DYKSTRA
BREWINGTON
CRANOR
KAUFFMAN
MAGUIRE
SAMUELSON
SEETON
JOHNSON
BUDDE
COOK
LAMBERT-WEINER
SMITH
THOMPSON
AL-ADSANI
ALLEN
BAILEY
BERDAHL
BROWER
BRUCE
DAWSON
DEMEKE
DIAL
EMERSON
FINNOFF
FRIED
GROVES
HASTINGS
HIRATZKA
HOTZ
JEFFERS
KALFON
KUMAR
LAUDICK
LEASE
LOECKE
MARINO
MARTINKUS
REINHARDT
REVOAL
ROEDER
SASSAMAN
SHERIF
STOLTZ
TALLMAN
TUCKER
TULLIS
WALKER
WARD
ZHANG
ABU QWAIDER
AL-ADSANI
ALLEN
BABCOCK
BAGCI
BAILEY
BAR
BARBEE
BEARDEN
BECK
BERDAHL
BROCKMANN
BROWER
BUDENSIEK
BUDENSIEK
CAMPBELL
CARAGOL
CARTER
CORCORAN-KELLY
DAWSON
DEMEKE
DIAL
DORO
EHRMAN
08/22/2013
FIRST_NAME
DWAIN
DANIEL
RICHARD
MELISSA
LORI
JENNIFER
KIMBERLY
DEBORAH
RITA
FLORA
JOHN
JEFFREY
KATHLEEN
SCOTT
JAMES
KATHERINE
PRAVEEN
JAY
KELLI
JACOB
STEPHEN
WASL
NEIL
SHARON
LAURIE
TINA
JULIA
JUDD
TESFAYE
DANIELLE
BARBARA
GREGORY
ROBERT
ROBERT
DEBORAH
PAUL
ISAAC
WAYNE
BERRY
NIRMALA
TANYA
ANNE
STEVEN
EDWARD
KAROLYN
MARCUS
ALANA
TENLEY
DONNA
AHMED
MICHELLE
MARSHA
DOUGLAS
GENE
JUSTIN
DANIEL
SHU
YAZAN
WASL
NEIL
TERRA
SHAWN
SHARON
NOFFAR
CHRISTY
JACQUELINE
SUSAN
LAURIE
ROBERT
TINA
RICHARD
RICHARD
RICHARD
JENNIFER
SUSAN
SUSAN
JUDD
TESFAYE
DANIELLE
DANIELLE
DONOVAN
TITLE
MD
LPC
MD
MD
PHONE
9704840722
9704840722
(970) 484 4871
(970) 484 4871
(970) 484 4871
(970) 484 4871
(970) 484 4871
(970) 484 4757
(970) 391 0200
9704840798
(970) 484 0798
9704840798
9704840798
(970) 484 0798
(970) 237 6339
9704844871
(970) 542 0360
(970) 842 6260
9704840722
9703504819
9703506399
9703784529
9703784529
(970) 352 6353
(970) 378 4529
9703922026
9703784529
9703784529
9703784529
(970) 378 4529
9703922026
(970) 352 6353
(970) 392 2026
(970) 356 2424
(970) 378 4676
9703784529
9703784529
(970) 352 6353
(970) 378 4529
(970) 378 4475
(970) 352 6353
9703784529
(970) 392 2026
(970) 378 4529
(970) 378 4529
MD
MD
DO
DO
MD
MD
(970) 378 4155
9703784529
(970) 378 4529
(970) 392 2026
(970) 378 4676
(970) 353 9011
(970) 378 4155
(970) 352 6353
9703922026
(970) 378 4529
(970) 395 7878
(970) 353 9011
(970) 356 2424
(970) 378 4155
9703784433
(970) 378 4155
(970) 392 2026
(970) 378 4529
(970) 378 4529
(970) 498 9226
(970) 378 4593
CLINIC NAME
NCAP, LLP
NCAP, LLP
PEDIATRIC ASSOCIATES OF NORTHERN COLO
PEDIATRIC ASSOCIATES OF NORTHERN COLO
PEDIATRIC ASSOCIATES OF NORTHERN COLO
PEDIATRIC ASSOCIATES OF NORTHERN COLO
PEDIATRIC ASSOCIATES OF NORTHERN COLO
PET IMAGING OF NORTHERN COLORADO
RITA R DYKSTRA LPC
ROCKY MOUNTAIN FAMILY PHYSICIANS
ROCKY MOUNTAIN FAMILY PHYSICIANS
ROCKY MOUNTAIN FAMILY PHYSICIANS
ROCKY MOUNTAIN FAMILY PHYSICIANS
ROCKY MOUNTAIN FAMILY PHYSICIANS
URGENT CARE AT MIRAMONT LLC
PEDIATRIC ASSOCIATES OF FORT COLLINS
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
NCAP, LLP
BANNER GREELEY ANESTHESIA
BANNER GREELEY ANESTHESIA
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER GREELEY SPECIALISTS
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
ADDRESS1
1236 E ELIZABETH STE 2
1236 E ELIZABETH ST STE 2
2001 S SHIELDS BLDG G
PEDIATRIC ASSOCIATES OF NORTHERN COLO
2001 S SHIELDS BLDG G
2001 S SHIELDS BLDG G
2001 S SHIELDS BLDG G
2008 CARIBOU DR
4745 BOARDWALK BLDG. C STE. 3
1124 E ELIZABETH ST STE C
ROCKY MOUNTAIN FAMILY PHYSICIANS
1124 E ELIZABETH ST BLDG C
1124 E ELIZABETH ST STE C
1124 E ELIZABETH ST STE C
2211 S COLLEGE AVE UNIT 300
2001 S SHIELDS BLDG G
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
1236 E ELIZABETH ST STE 2
1801 16TH ST
1801 16TH ST
1801 16TH ST
2410 W 16TH ST
1801 16TH ST
2410 16TH ST
1801 16TH ST
1801 16TH ST
1801 16TH ST
1801 16TH ST
1801 16TH ST
1801 16TH ST
1801 16TH ST
1801 16TH ST
1801 16TH ST
1801 16TH ST
2410 W 16TH ST
1801 16TH ST
1600 23RD AVE
1801 16TH ST
1800 15TH ST STE 210
1801 16TH ST
1800 15TH ST STE 210
1801 16TH ST
1801 16TH ST
1800 15TH ST STE 200
1801 16TH ST
2410 W 16TH ST
1801 16TH ST
1801 16TH ST
2010 16TH ST STE A
2410 W 16TH ST
1801 16TH ST
1801 16TH ST
1801 16TH ST
1801 16TH ST
1801 16TH STREET
1801 16TH ST
2010 16TH ST. STE. A
1801 16TH ST
2410 W 16TH ST
2001 70TH AVE STE 110
1801 16TH ST
1801 16TH ST
BANNER HEALTH PHYSICIANS COLORADO LLC
1800 15TH ST STE 100B
5623 W 19TH ST
2001 70TH AVE STE 110
2410 16TH ST
1801 16TH ST
1801 16TH ST
BHCLC 19ST
5623 W 19TH ST
1600 23RD AVE
2001 70TH AVE ST 110
1800 15TH ST STE 220
BANNER HEALTH PHYSICIANS COLORADO LLC
1801 16TH ST
1801 16TH ST
1801 16TH ST
201016TH ST. STE. C
1801 16TH ST
ADDRESS2
2001 S SHIELDS ST BLDG G
1124 E ELIZABETH ST BLDG C
500 MAIN ST.
909 E. RAILROAD AVE.
1801 16TH ST
5623 W 19TH ST.
2001 70TH AVE., STE 10
CITY
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLINS
FORT COLLONS
FORT MORGAN
FORT MORGAN
FT COLLINS
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
ST
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
ZIP
805244000
80524
80526
80526
80526
80526
80526
80525
80525
80524
80524
80524
80524
80524
80528
80526
807012130
807013301
80524
80631
80631
80631
806346004
80631
80634
80631
80631
80631
80631
80631
80631
80631
806315154
80631
80631
806346004
80631
80634
80631
80632
80631
80631
80631
80631
80631
80631
806346004
80631
80631
806314563
806346004
80631
806315154
80631
80631
80631
80631
80631
80631
806346004
80634
80631
80631
806315154
80631
806342901
80634
80634
806315154
80631
806342901
80634
80634
80634
806314563
80634
80631
80631
80631
806315188
806315154
SPEC
AN
AN
IM
PD
PDEM
PD
NP
RADR
CUMH
FP
FP
FP
PAC
FP
FM
NP
FP
RADR
AN
AN
AN
FP
OG
NP
OG
NPFA
IM
FP
IM
NP
IM
FP
FP
IM
IM
OG
FP
FP
IM
IMEN
NPFA
NPFA
IM
PAC
PAC
IM
OG
NPFA
IM
IMGI
OG
IM
FP
SUTH
FP
IM
FP
IMGI
IM
OG
PAC
IM
NP
IMHP
PSNE
FP
FP
OG
FP
NPFA
FP
FP
FP
FP
OG
IM
FP
IM
NP
IM
NPFA
SPECIALTY_DESCR
Anesthesiology
Anesthesiology
Internal Medicine
Pediatrics
Pediatrics - Pediatric Emergency Medicine
Pediatrics
Nurse Practitioner
Radiology - Diagnostic Radiology
Counselor - Mental Health
Family Practice
Family Practice
Family Practice
Physician Assistant
Family Practice
Nurse Practitioner
Family Practice
Radiology - Diagnostic Radiology
Anesthesiology
Anesthesiology
Anesthesiology
Family Practice
Obstetrics & Gynecology
Nurse Practitioner
Obstetrics & Gynecology
Nurse Practitioner - Family
Internal Medicine
Family Practice
Internal Medicine
Nurse Practitioner
Internal Medicine
Family Practice
Family Practice
Internal Medicine
Internal Medicine
Obstetrics & Gynecology
Family Practice
Family Practice
Internal Medicine
Internal Medicine - Endocrinology, Diabetes & Metabolism
Nurse Practitioner - Family
Nurse Practitioner - Family
Internal Medicine
Physician Assistant
Physician Assistant
Internal Medicine
Obstetrics & Gynecology
Nurse Practitioner - Family
Internal Medicine
Internal Medicine - Gastroenterology
Obstetrics & Gynecology
Internal Medicine
Family Practice
Thoracic Surgery
Family Practice
Internal Medicine
Family Practice
Internal Medicine - Gastroenterology
Internal Medicine
Obstetrics & Gynecology
Physician Assistant
Internal Medicine
Nurse Practitioner
Hospitalist
Psychiatry & Neurology - Neurology
Family Practice
Family Practice
Obstetrics & Gynecology
Family Practice
Nurse Practitioner - Family
Family Practice
Family Practice
Family Practice
Family Practice
Obstetrics & Gynecology
Internal Medicine
Family Practice
Internal Medicine
Nurse Practitioner
Internal Medicine
Nurse Practitioner - Family
Page 51 of 57
LAST_NAME
EHRMAN
EMERSON
FINNOFF
FRIED
GARCIA
GARZA
GEORGE
GROVES
HARDING
HARMS
HASTINGS
HERGERT
HERGERT
HIRATZKA
HIRATZKA
HOTZ
HUANG
JEFFERS
KALFON
KALT
KUMAR
LAUDICK
LEASE
LEASE
LOECKE
MARINO
MARTINKUS
MCCALL
MCNALLY
MILLS
MILLS
MOORE
MORGAN
NEMEJC
NETTLES
NETTLES
O'NEAL
PAETZEL
PALES
POWELL
PULS
REINHARDT
REVOAL
ROEDER
SADLER
SADLER
SANDO
SHEDD
SHERIF
SHERIF
STOLTZ
TALLMAN
TARRY YOO
TARRY YOO
TARRY YOO
TUCKER
TULLIS
VAN MAANEN
WALKER
WARD
YOUNG
YOUNG
ZHANG
COOK
HARRIS
KREIDER
BABCOCK
BEARDEN
BECK
BUDENSIEK
CARAGOL
EHRMAN
GARCIA
HARDING
HARMS
KALT
MCCALL
MILLS
MORGAN
NEMEJC
PAETZEL
08/22/2013
FIRST_NAME
SHERYL
BARBARA
GREGORY
ROBERT
GIOVANNA
PHILLIP
ANIA
ROBERT
AMANDA
THOMAS
DEBORAH
TERESA
TERESA
PAUL
PAUL
ISAAC
CHRISTINE
WAYNE
BERRY
STEVEN
NIRMALA
TANYA
ANNE
ANNE
STEVEN
EDWARD
KAROLYN
JANIS
THOMAS
ANGELA
ANGELA
MAUREEN
FRANK
CHARLES
ANDREA
RYAN
JEAN-PIERRE
KRISTI
DIMITRIY
MARY
DAVID
MARCUS
ALANA
TENLEY
CORINN
CORINN
JAMES
MICHAEL
AHMED
AHMED
MICHELLE
MARSHA
STEPHANIE
STEPHANIE
STEPHANIE
DOUGLAS
GENE
SHERRI
JUSTIN
DANIEL
LINDA
LINDA
SHU
PHILLIP
JOHN
DAN
TERRA
JACQUELINE
SUSAN
RICHARD
JENNIFER
SHERYL
GIOVANNA
AMANDA
THOMAS
STEVEN
JANIS
ANGELA
FRANK
CHARLES
KRISTI
TITLE
MD
MD
MD
MD
PHONE
(970) 350 6680
(970) 378 4529
(970) 378 4529
(970) 350 5660
(970) 352 6353
(970) 498 9226
(970) 392 2026
(970) 350 5828
(970) 378 4155
(970) 378 4676
(970) 378 4676
(970) 352 6353
(970) 392 2026
(970) 392 2026
9703922026
(970) 356 2424
(970) 350 5660
(970) 378 4676
(970) 378 4529
MD
MD
MD
MD
(970) 353 9011
(970) 378 4155
(970) 353 9011
(970) 353 9011
(970) 378 4155
(970) 353 9011
(970) 378 4155
9703784155
(970) 348 0020
(970) 352 6353
(970) 378 4155
DO
DO
MD
MD
MD
9703922026
(970) 353 9011
(970) 378 4529
(970) 352 6353
(970) 378 4529
(970) 352 8216
(970) 392 2026
(970) 350 5828
(970) 392 2026
(970) 378 4475
(970) 392 2027
(970) 352 6353
(970) 378 4529
(970) 378 4475
(970) 378 4475
(970) 378 4475
(970) 392 2026
(970) 350 8566
(970) 378 4529
(970) 378 4155
(970) 378 4155
9703506860
9703784155
9703539011
(970) 378 4155
9703539011
(970) 378 4155
9703506680
9703505660
9703505828
9703784155
9703505660
9703539011
9703539011
9703784155
9703784155
CLINIC NAME
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER IMAGING ASSOC OF NORTH COLORADO
BANNER IMAGING ASSOC OF NORTH COLORADO
BANNER IMAGING ASSOC OF NORTH COLORADO
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
ADDRESS1
1801 16TH ST
1801 16TH ST
1801 16TH ST
1801 16TH ST
BANNER HEALTH PHYSICIANS COLORADO LLC
2410 W. 16TH
BANNER HEALTH PHYSICIANS COLORADO LLC
1801 16TH ST
6801 W 20TH ST STE 201
2001 70TH AVE STE 110
1801 16TH ST
1800 15TH ST STE 200
1800 15TH ST STE 300
710 11TH AVE. STE. 106
1801 16TH ST.
1801 16TH ST
1801 16TH ST
1600 23RD AVE
1801 16TH ST
2010 16TH ST STE C
1800 15TH ST STE 210
1801 16TH ST
1800 15TH ST STE 200
1800 15TH ST STE 300
1801 16TH ST
1801 16TH ST
1800 15TH ST STE 200
5623 W 19TH ST
2001 70TH AVE STE 110
5623 W 19TH ST
5623 W 19TH ST
2001 70TH AVE STE 110
5623 W 19TH ST
2001 70TH AVE STE 110
2001 70TH AVE STE 110
5890 W 13TH ST STE 101
2410 W 16TH ST
2001 70TH AVE STE 110
1801 16TH ST.
1801 16TH ST
5623 W 19TH ST STE A
1801 16TH ST
2410 W 16TH ST
1801 16TH ST
BHCUC
BANNER HEALTH PHYSICIANS COLORADO LLC
6801 W 20TH ST STE 201
1801 16TH ST
2010 16TH ST STE A
1601 16TH ST.
2410 W 16TH ST
1801 16TH ST
1800 15TH ST. STE. 200
1800 15TH ST. STE. 300
1801 16TH ST.
1801 16TH ST
1801 16TH ST
1801 16TH ST
1801 16TH ST
1801 16TH STREET
2001 70TH AVE STE 110
5890 W.13TH ST. STE. 101
1801 16TH ST
1801 16TH ST
1801 16TH ST
1801 16TH ST
2001 70TH AVE STE 110
5623 W 19TH ST
2001 70TH AVE STE 110
5623 W 19TH ST
2001 70TH AVE ST 110
1801 16TH ST
2010 16TH ST STE C
6801 W 20TH ST STE 201
2001 70TH AVE STE 110
2010 16TH ST STE C
5623 W 19TH ST
5623 W 19TH ST
5623 W 19TH ST
2001 70TH AVE STE 110
2001 70TH AVE STE 110
ADDRESS2
2010 16TH ST STE C
2010 16TH ST STE C
1800 15TH ST STE 210
1801 16TH ST
CITY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
ST
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
ZIP
806315154
80631
80631
806315154
80631
80634
80631
80631
80634
80634
80631
80631
80631
80631
806315154
80631
806315154
80634
80631
80631
80632
80631
80631
80631
80631
80631
80631
806342901
80634
80634
80634
806344621
80634
80634
806344621
80634
806346004
80634
80631
80631
80634
80631
806346004
80631
806314563
80631
806349640
806315154
806314563
806315154
806346004
80631
80631
80631
80631
806315154
80631
80631
80631
80631
80634
80634
80631
80631
80631
80631
80634
806342901
80634
80634
80634
806315154
80631
80634
80634
80631
806342901
80634
80634
80634
80634
SPEC
NP
IM
FP
FP
IM
OG
AI
IM
PD
EM
IM
NPFA
NPFA
OG
OG
FP
IM
FP
IM
IM
IMEN
NPFA
NPFA
NPFA
IM
PAC
PAC
FP
PAC
FP
FP
NPFA
FP
PAC
PAC
PAC
OG
PAC
IM
NP
FP
IM
OG
NPFA
IM
IM
PD
IM
IMGI
IMGI
OG
IM
DIR
DIR
DIR
FP
SUTH
NP
FP
IM
FP
FP
FP
RAVI
RADR
RADR
PAC
FP
FP
FP
FP
NP
IM
PD
EM
IM
FP
FP
FP
PAC
PAC
SPECIALTY_DESCR
Nurse Practitioner
Internal Medicine
Family Practice
Family Practice
Internal Medicine
Obstetrics & Gynecology
Allergy & Immunology
Internal Medicine
Pediatrics
Emergency Medicine
Internal Medicine
Nurse Practitioner - Family
Nurse Practitioner - Family
Obstetrics & Gynecology
Obstetrics & Gynecology
Family Practice
Internal Medicine
Family Practice
Internal Medicine
Internal Medicine
Internal Medicine - Endocrinology, Diabetes & Metabolism
Nurse Practitioner - Family
Nurse Practitioner - Family
Nurse Practitioner - Family
Internal Medicine
Physician Assistant
Physician Assistant
Family Practice
Physician Assistant
Family Practice
Family Practice
Nurse Practitioner - Family
Family Practice
Physician Assistant
Physician Assistant
Physician Assistant
Obstetrics & Gynecology
Physician Assistant
Internal Medicine
Nurse Practitioner
Family Practice
Internal Medicine
Obstetrics & Gynecology
Nurse Practitioner - Family
Internal Medicine
Internal Medicine
Pediatrics
Internal Medicine
Internal Medicine - Gastroenterology
Internal Medicine - Gastroenterology
Obstetrics & Gynecology
Internal Medicine
Dietitian, Registered
Dietitian, Registered
Dietitian, Registered
Family Practice
Thoracic Surgery
Nurse Practitioner
Family Practice
Internal Medicine
Family Practice
Family Practice
Family Practice
Radiology - Vascular & Interventional Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Physician Assistant
Family Practice
Family Practice
Family Practice
Family Practice
Nurse Practitioner
Internal Medicine
Pediatrics
Emergency Medicine
Internal Medicine
Family Practice
Family Practice
Family Practice
Physician Assistant
Physician Assistant
Page 52 of 57
LAST_NAME
PULS
SANDO
SHENKENBERG
YOUNG
NETTLES
WILLIAMS-WUCH
HERGERT
VAN MAANEN
ABBOTT
ALLERTON
BEYER
BUCHANAN
CHAVALITHAMRONG
COLE
COLIP
COLLINS
GEIBEL
GOKHALE
GRIMES
HARRIS
HIGGINBOTHAM
JOHNSON
JONES
KAMALU
KELLAM
LEDGES
MCCARTNEY
O'CONNELL
RASHKOW
SPAULDING
SPAULDING
TELCK
TRAWICK
ZISHKA
PARSONS
ROBERTS
BEDOSKY
BRANUM
CLANG
CLANG
COLGAN
DAWSON
FAMILY PHYSICIANS OF GREELEY
GARBER
HASKINS
KENNEDY
MAGNUSON
MARTINEZ
MATTOX
NWIZU
PACZOSA
PETERSON
PFLIEGER
RIPLEY
STODDARD
WARD
WAUGH
WILSON
YOUNG
ZUCKER
BRUCE
FISHER
GROVER
LINCARE, INC.
SOMA
GROTENHUIS
LEWIS
THWAITES
BRUCE
COCKRELL
DEARMONT-OLSON
DONG
EHRMAN
HARPER
HINZE
HIRSCH
HOBBINS
JENSEN
LYLE
MARINELLO
QUILLEN
08/22/2013
FIRST_NAME
DAVID
JAMES
AMY
LINDA
RYAN
KERRY
TERESA
SHERRI
JUSTIN
HAROLD
SEAN
KAY
SUTTISAK
CHARLES
MICHAEL
KATHRYN
VICKIE
MANDAAR
DORIS
BILL
MICHAEL
ALAN
RICHARD
LAYNE
MARK
MATTHEW
DAWN
ETHAN
ANDREW
MICHAEL
TIFFANY
LYNNETTE
KAREN
PATRICIA
RYAN
MICHAEL
NATHAN
JOANNA
DANIEL
TAMARA
ANN
JENNIFER
TITLE
MD
(307) 532 4181
PA-C
STACEY
R. SCOTT
CHRISTOPHER
DOUGLAS
MATTHEW
AMY
CHIMA
MICHELLE
JEFFREY
DANIEL
LORI
ANDREW
J
KYLE
DONALD
MARK
CHARLES
JULIA
MYKA
JEREMY
THOMAS
LAURA
TIA
GREGORY
TODD
GAIL
JODI
LIN-WANG
DONOVAN
TERESA
BRENDA
CECILIA
JOHN
RUTH
BRIAN
LAURA
JAMES
PHONE
9703539011
9703505828
(970) 378 4155
(970) 378 4155
9703480020
(970) 378 3894
(970) 378 4676
9703508566
MD
(970) 356 2520
(970) 356 2520
(970) 378 8000
(970) 378 8000
(970) 356 2520
(970) 356 2520
9703562520
(970) 353 7668
(970) 378 8000
(970) 353 7668
(970) 356 2520
(970) 378 8000
(970) 353 7668
(970) 378 8000
(970) 378 8000
(970) 378 8000
(970) 353 7668
(970) 356 2520
(790) 356 2520
(970) 378 8000
(970) 356 2520
(970) 356 2520
(970) 353 7668
(970) 356 2520
9703040010
9703040010
9703040903
(970) 356 1506
(970) 484 0722
9703364923
9703364912
97035201056
9703784591
9703920900
9703920900
(970) 378 4593
9703484593
9703920900
9703506953
9703784475
9703920900
9703784475
CLINIC NAME
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MOUNTAIN VISTA ORTHOPAEDIC MED
BANNER ONCOLOGY SERVICES
CARDIO VASCULAR INSTITUTE
CARDIO VASCULAR INSTITUTE
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
COMMUNITY HOSPITAL - TORRINGTON
EAST MORGAN COUNTY HOSPITAL
EAST MORGAN COUNTY HOSPITAL
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
FAMILY PHYSICIANS OF GREELEY
GREELEY INTERNAL MEDICINE AND NEPHROLOGY
GREELEY INTERNAL MEDICINE AND NEPHROLOGY
GREELEY INTERNAL MEDICINE AND NEPHROLOGY
LINCARE, INC.
NCAP, LLP
NCMC BEHAVIORAL HEALTH
NCMC BEHAVIORAL HEALTH
NCMC BEHAVIORAL HEALTH
NCMC SPECIALTY CLINIC
NCMC SPECIALTY CLINIC
NCMC SPECIALTY CLINIC
NCMC SPECIALTY CLINIC
NCMC SPECIALTY CLINIC
NCMC SPECIALTY CLINIC
NCMC SPECIALTY CLINIC
NCMC SPECIALTY CLINIC
NCMC SPECIALTY CLINIC
NCMC SPECIALTY CLINIC
NCMC SPECIALTY CLINIC
NCMC SPECIALTY CLINIC
NCMC SPECIALTY CLINIC
ADDRESS1
5623 W 19TH ST STE A
6801 W 20TH ST STE 201
2001 70TH AVE STE 110
2001 70TH AVE STE 110
5890 W 13TH ST STE 101
BANNER ONCOLOGY SERVICES
1800 15TH ST STE 200
1801 16TH ST
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1540
P O BOX 1600
P O BOX 1600
FPG WEST
2520 W 16TH ST
6801 W 20TH ST STE 101
6801 W 20TH ST STE 101
2520 W 16TH ST
2520 W 16TH ST
2520 W 16TH ST
2420 W 16TH ST
6801 W 20TH ST STE 101
2420 W 16TH ST
2520 W 16TH ST
6801 W 20TH ST STE 101
2420 W 16TH ST
6801 W 20TH ST STE 101
6801 W 20TH ST STE 101
6801 W 20TH ST STE 101
2420 W 16TH ST
2520 W 16TH ST
2520 W 16TH ST
6801 W 20TH ST STE 101
2520 W 16TH ST
2520 W 16TH ST
2420 W 16TH ST
2520 W 16TH ST
900 14TH ST
900 14TH ST
900 14TH ST
2533 11TH AVE.
MOUNTAIN VISTA ORHTOPAEDICS
928 12TH ST
928 12TH ST
928 12TH ST
1800 15TH ST STE 340
1801 16TH ST
1800 15TH ST STE 310
1800 15TH ST STE 310
1801 16TH ST
2001 70TH AVE
1800 15TH ST STE 310
1800 15TH ST STE 310
2001 70TH AVE
1800 15TH ST STE 320
1800 15TH ST STE 310
1800 15TH ST STE 310
1800 15TH ST STE 310
ADDRESS2
1800 15TH ST., STE A
6801 W 20TH ST., STE 101
5890 W. 13TH ST. STE. 102
CITY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
ST
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
ZIP
80634
806349640
806344628
80634
80634
80631
80631
80631
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
806349637
80634
80634
80634
80634
80634
80634
80634
80634
80634
80634
80634
80634
80634
80634
80634
80634
80634
80634
80634
80634
80634
80634
80634
80631
80631
80631
80631
806344816
80631
80631
80631
80631
80631
80631
80631
806315154
80631
80631
80631
80634
80631
80631
80631
80631
SPEC
FP
PD
FP
FP
PAC
IMHO
NPFA
NP
FP
AN
FP
OG
EM
EM
FP
EM
AN
EM
AN
SUUR
IMCV
EM
EM
FP
EM
EM
EM
FP
IMCV
IMCV
FP
EM
AN
FP
FP
PAC
PAM
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
FP
IM
NP
PAC
DE
AN
CUMH
CUMH
PYNE
PAC
SU
NPFA
IM
NPFA
OG
PAC
IM
OG
AN
IM
PAC
IM
SPECIALTY_DESCR
Family Practice
Pediatrics
Family Practice
Family Practice
Physician Assistant
Internal Medicine - Hematology & Oncology
Nurse Practitioner - Family
Nurse Practitioner
Family Practice
Anesthesiology
Family Practice
Obstetrics & Gynecology
Emergency Medicine
Emergency Medicine
Family Practice
Emergency Medicine
Anesthesiology
Emergency Medicine
Anesthesiology
Urology
Internal Medicine - Cardiovascular Disease
Emergency Medicine
Emergency Medicine
Family Practice
Emergency Medicine
Emergency Medicine
Emergency Medicine
Family Practice
Internal Medicine - Cardiovascular Disease
Internal Medicine - Cardiovascular Disease
Family Practice
Emergency Medicine
Anesthesiology
Family Practice
Family Practice
Physician Assistant
Physician Assistant - Medical
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Internal Medicine
Nurse Practitioner
Physician Assistant
Durable Medical Equipment & Medical Supplies
Anesthesiology
Counselor - Mental Health
Counselor - Mental Health
Neuropsychologist
Physician Assistant
Surgery
Nurse Practitioner - Family
Internal Medicine
Nurse Practitioner - Family
Obstetrics & Gynecology
Physician Assistant
Internal Medicine
Obstetrics & Gynecology
Anesthesiology
Internal Medicine
Physician Assistant
Internal Medicine
Page 53 of 57
LAST_NAME
REEVES
RICHARDS
WEBB
BROWN
CAMPBELL
COOK
DALLOW
DAWSON
ELKINGTON
FAHRENHOLTZ
INGLIS
LEONARD
MCGARR
OGDEN
ROMMEREIM-MADDEN
SCHULTE
SMITH
UNREIN MARRS
VINSONHALER
WALLACE
LINDSTROM
BATTERSHELL
CARR
CECIL
FRANCIS
HAWLEY
PEASLEY
ROBERTSON
SHAWVER
WOODS
DIILIO
FRASER
JOHNSTON
MILLER
ALKIRE
MOE-HARTMAN
SENN
BERNALES
BHOJWANI
BULCZAK
CAVAZOS
CHILUKURI
CLARKE
CLIFFORD
CROSS
DITRAGLIA
DUDO
EDSTROM
GRAHAM
GRUBB
HESS
HIGGS
JACOBSON
KHAN
MCHUGH
MILNE
MORGAN
NARVAEZ
PARIS
PAUL
REMBERT
ROGERS
RUSH
RYAN
SAVIK
SFAXI
SONKEN
SU
TAGUE
THEOHARIS
TRAN
VANDERWERFF
WILSON
ZORN
MATEI
MYERS-FREEMAN
BROWN
BROWN
GREGORY
ISLEY
KENIGSBERG
08/22/2013
FIRST_NAME
SHANE
KENNETH
PETER
STEVEN
RICHARD
JEFFREY
KURT
JENNIFER
KENNETH
HERBERT
ERIN
BRIAN
MITZI
SAMUEL
DAPHNE
DOROTHY
DAVID
TANYA
TERRY
MARK
BONNELL
TY
ALFRED
JEFFREY
JOYCE
JAMES
STEVE
PAUL
BONNIE
WILLARD
RICHARD
THOMAS
HENRY (JAKE)
PATRICK
NORMA
JAMI
JEREMY
WILSON
RAJESH
DARIUSZ
CRISTINA
ANANTHAKRISHNA
DELPHIA
RYAN
GREGORY
FRANK
JAMES
JEFFERY
TRAVIS
KRISTEN
GARY
WILLIAM
LESLIE
MUHAMMAD
FRANK
LILLIAN
JACK
GIL
CHRISTOPHER
MARC
FRANK
RANDY
RICHARD
KEVIN
WADE
MOHAMED
RONALD
ALBERT
DAVID
JENNIFER
ANN
DOWIE
SAMUEL
JEFFREY
MIHAELA
SUSAN
JOHN
CARA
JOSEPH
COURTNEY
THOMAS
TITLE
PHONE
9703784475
9703784593
9703920900
9703562424
(970) 356 2424
9703562424
9703562424
9703562424
9703562424
9703562424
9703562424
9703562424
(970) 356 2424
9703562424
9703562424
9703562424
9703562424
9703563100
9705220122
9703361123
9703361123
9703361123
3073473221
MD
MD
MD
MD
MD
3034187600
3034187600
(970) 587 4974
(970) 395 7878
(970) 587 4974
(970) 587 4974
(970) 395 7878
CLINIC NAME
NCMC SPECIALTY CLINIC
NCMC SPECIALTY CLINIC
NCMC SPECIALTY CLINIC
NORTH COLORADO FAMILY MEDICINE
NORTH COLORADO FAMILY MEDICINE
NORTH COLORADO FAMILY MEDICINE
NORTH COLORADO FAMILY MEDICINE
NORTH COLORADO FAMILY MEDICINE
NORTH COLORADO FAMILY MEDICINE
NORTH COLORADO FAMILY MEDICINE
NORTH COLORADO FAMILY MEDICINE
NORTH COLORADO FAMILY MEDICINE
NORTH COLORADO FAMILY MEDICINE
NORTH COLORADO FAMILY MEDICINE
NORTH COLORADO FAMILY MEDICINE
NORTH COLORADO FAMILY MEDICINE
NORTH COLORADO FAMILY MEDICINE
NORTH COLORADO FAMILY MEDICINE
NORTH COLORADO FAMILY MEDICINE
NORTH COLORADO FAMILY MEDICINE
PATHWAYS
PLATTE COUNTY MEMORIAL HOSPITAL
PLATTE COUNTY MEMORIAL HOSPITAL
PLATTE COUNTY MEMORIAL HOSPITAL
PLATTE COUNTY MEMORIAL HOSPITAL
PLATTE COUNTY MEMORIAL HOSPITAL
PLATTE COUNTY MEMORIAL HOSPITAL
PLATTE COUNTY MEMORIAL HOSPITAL
PLATTE COUNTY MEMORIAL HOSPITAL
PLATTE COUNTY MEMORIAL HOSPITAL
STERLING REGIONAL MEDICAL CENTER
STERLING REGIONAL MEDICAL CENTER
STERLING REGIONAL MEDICAL CENTER
STERLING REGIONAL MEDICAL CENTER
TRANSITIONS PSYCHOLOGY GROUP
TRANSITIONS PSYCHOLOGY GROUP
TRANSITIONS PSYCHOLOGY GROUP
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
WASHAKIE MEDICAL CENTER
ROCKY MOUNTAIN CANCER CENTER, LLP
ROCKY MOUNTAIN CANCER CENTER, LLP
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
ADDRESS1
1801 16TH ST
1800 15TH ST STE 340
1800 15TH ST STE 310
1600 23RD AVE
1600 23RD AVE
1600 23RD AVE
1600 23RD AVE
1600 23RD AE
1600 23RD AVE
1600 23RD AVE
1600 23RD AVE
1600 23RD AVE
1600 23RD AVE
1600 23RD AVE
1600 23RD AVE
1600 23RD AVE
1600 23RD AVE
1600 23RD AVE
1600 23RD AVE
1600 23RD AVE
3211 20TH ST STE D
P O BOX 1510
P O BOX 1510
P O BOX 1510
P O BOX 1510
P O BOX 1510
P O BOX 1510
P O BOX 1510
P O BOX 1510
P O BOX 1510
PO BOX 1630
P O BOX 1630
P O BOX 1630
P O BOX 1630
7251 W 20TH ST
7251 W 20TH ST BLDG M2
7251 W 20TH ST UNIT M2
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
PO BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
P O BOX 1390
PO BOX 1510
P O BOX 1390
7951 E MAPLEWOOD STE 300
7951 E MAPLEWOOD STE 300
222 JOHNSTOWN CTR DR
BHCLC JOHNSTOWN
222 JOHNSTOWN CIR
222 JOHNSTOWN CENTER DR
BHCLC JOHNSTOWN
ADDRESS2
222 JOHNSTOWN CENTER DR
222 JOHNSTOWN CENTER DR
CITY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREELEY
GREENWOOD VILLAGE
GREENWOOD VILLAGE
JOHNSTOWN
JOHNSTOWN
JOHNSTOWN
JOHNSTOWN
JOHNSTOWN
ST
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
ZIP
80631
80631
80631
806346070
80634
806346070
80634
80634
80634
80634
806346070
80634
80634
80634
80634
80634
80634
80634
80634
80634
806346566
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80634
80634
80634
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
80632
806321510
80632
80111
80111
80534
805349030
80534
850349030
805349030
SPEC
OG
SUTH
PAC
CUMH
FP
FP
FP
FP
OG
FP
FP
FP
NPFA
FP
FP
NPFA
IM
NPFA
CUMH
FP
CUMH
EM
AN
EM
AN
EM
EM
AN
AN
OG
EM
EM
EM
FP
CUMH
CUMH
CUMH
FP
RADR
RADR
RADR
RADR
RADR
FP
RADR
EM
AN
AN
RADR
RADR
AN
AN
RADR
IMCV
EM
AN
FP
RADR
AN
RADR
RADR
AN
FP
AN
AN
RADR
RADR
RADR
RADR
RADR
RADR
AN
EM
RADR
IM
IMHO
FP
FPAL
FP
FP
FP
SPECIALTY_DESCR
Obstetrics & Gynecology
Thoracic Surgery
Physician Assistant
Counselor - Mental Health
Family Practice
Family Practice
Family Practice
Family Practice
Obstetrics & Gynecology
Family Practice
Family Practice
Family Practice
Nurse Practitioner - Family
Family Practice
Family Practice
Nurse Practitioner - Family
Internal Medicine
Nurse Practitioner - Family
Counselor - Mental Health
Family Practice
Counselor - Mental Health
Emergency Medicine
Anesthesiology
Emergency Medicine
Anesthesiology
Emergency Medicine
Emergency Medicine
Anesthesiology
Anesthesiology
Obstetrics & Gynecology
Emergency Medicine
Emergency Medicine
Emergency Medicine
Family Practice
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Family Practice
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Family Practice
Radiology - Diagnostic Radiology
Emergency Medicine
Anesthesiology
Anesthesiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Anesthesiology
Anesthesiology
Radiology - Diagnostic Radiology
Internal Medicine - Cardiovascular Disease
Emergency Medicine
Anesthesiology
Family Practice
Radiology - Diagnostic Radiology
Anesthesiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Anesthesiology
Family Practice
Anesthesiology
Anesthesiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Radiology - Diagnostic Radiology
Anesthesiology
Emergency Medicine
Radiology - Diagnostic Radiology
Internal Medicine
Internal Medicine - Hematology & Oncology
Family Practice
Family Practice - Adolescent Medicine
Family Practice
Family Practice
Family Practice
Page 54 of 57
LAST_NAME
KUMAR
TARRY YOO
BOHM
BROWN
BROWN
GREGORY
ISLEY
KENIGSBERG
MARTINKUS
PORTNOY
FLORA
ANDERSON
ASADI
BECK
BOTTONE-POST
BOYCE
BROWN
BROWN
BRUCE
CABRERA
CALLENDER
CARAGOL
CHEN
CUERVO
DAVIDSON
DEAN
DETTERER
ENGLERT
FLAKE
FRANCO
GEORGE
GIANSIRACUSA
GILE
HAILEY
HARRIS
HARRIS
HERGERT
HIPP
HOFFMANN
HOLLOS
HORNER
HOWELL
HOWELL
HUGGER
JACOB
JOHNELL
JOHNELL
JONES
KEEFE
KOMOROWSKI
KUKAFKA
KURTH
MARLER
MARTINKUS
MATARRESE MCGIBBON
MEAD
MERCER
MERCER
MILANO
MOORE
MUSGRAVE
NEMEJC
NETTLES
NORMAN
NORMAN
PAETZEL
PARLIMENT
PATRICK
PATRICK
PEARSON
REENTS
SADLER
SAENZ
SHENKENBERG
SLACK
SLACK
SMITH
SNODGRASS
SOKOLOWSKI
TARRY YOO
TAYLOR
08/22/2013
FIRST_NAME
NIRMALA
STEPHANIE
MARTIN
CARA
JOHN
JOSEPH
COURTNEY
THOMAS
KAROLYN
JOSHUA
THOMAS
SHAHRAM
SUSAN
CAROLYN
LYNN
BRIDGET
CYNTHIA
ROBERT
ANTHONY
JOY
JENNIFER
EDWARD
JULIA
LINDA
CYNTHIA
SHARI
THOMAS
ZACHARY
JONATHAN
ANIA
RICHARD
GLEE
MARK
MARCIANN
MARCIANN
TERESA
NAOMI
JULIE
LORI ANN
JILLIAN
ELIZABETH
ELIZABETH
JANICE
PREMA
PATRICE
PATRICE
JENNIFER
KEVIN
JANELLE
DAVID
JAY
MCKAY
KAROLYN
LIA
ANDREA
JEANNETTE
JEANNETTE
WILLIAM
MAUREEN
ADAM
CHARLES
ANDREA
EDWARD
JENNIFER
KRISTI
JOEL
AMY
JENNY
ANTONY
WILLIAM
CORINN
SUZANNE
AMY
KENNETH
KENNETH
PETER
DAVID
IRENE
STEPHANIE
GRANT
TITLE
MD
PHONE
(970) 587 4974
(970) 587 4974
9705874974
9705874974
9705874974
(970) 587 4974
(970) 587 4974
9705874974
MD
(303) 952 1100
DO
CNM
MD
PA-C
MD
DO
MD
CNM
CNM
NP
MD
MD
MD
MD
FNP
FNP
MD
MD
MD
MD
MD
MD
MD
FNP
NP
MD
MD
MD.
DO
MD
DO
MD
MD
MD
MD
NP
PA
MD
MD
PA-C
MD
PA
MD
MD
MD
MD
MD
MD
MD
MD
MD
DO
(970) 663 0722
(970) 663 0135
(970) 461 6140
(970) 663 9523
(970) 633 1035
(970) 663 5437
(970) 461 6140
(970) 663 5437
(970) 667 3976
(970) 461 6140
(970) 461 6140
(970) 663 0135
(970) 669 6660
(970) 663 9523
(970) 663 9523
(970) 667 3976
(970) 667 2009
(970) 663 0722
(970) 667 2009
(970) 669 6660
(970) 613 1745
(970) 461 6140
(970) 667 3976
(970) 669 6660
(970) 669 6660
(970) 378 4676
(970) 663 0135
(970) 203 0047
(970) 663 0722
(970) 461 6140
(970) 686 5646
(970) 667 2009
(970) 461 6140
(970) 667 3976
(970) 619 3977
(970) 461 6140
(970) 203 6801
(970) 669 6660
(970) 663 9523
(970) 203 2120
(970) 203 0047
(970) 663 5437
(970) 663 5437
(970) 395 7878
(970) 461 6140
(970) 461 6140
(970) 461 6140
(970) 461 6140
(970) 461 6140
(970) 461 6140
(970) 663 0135
(970) 663 5437
(970) 461 6140
(970) 669 6660
(970) 663 0722
(970) 663 5437
(970) 663 0135
(970) 667 3976
(970) 203 6801
(970) 667 2009
(970) 461 6140
(970) 203 6801
(970) 667 2009
(970) 669 6660
(970) 663 0772
(970) 667 2009
(970) 378 4475
(970) 203 0047
CLINIC NAME
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER MEDICAL GROUP, LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
COLORADO PULMONARY INTENSIVISTS
ROCKY MOUNTAIN FAMILY PRACTICE
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
ADDRESS1
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
222 JOHNSTOWN CTR DR
222 JOHNSTOWN CTR DR
222 JOHNSTOWN CTR DR
222 JOHNSTOWN CIR
222 JOHNSTOWN CENTER DR
222 JOHNSTOWN CTR DR
300 EXEMPLA CIRCLE STE. 200
LITTLETON ADVENTIST HOSPITAL
205 S MAIN STE B
2701 MADISON SQUARE DR
2000 BOISE AVE
BANNER HEALTH PHYSICIANS COLORADO LLC
1647 E 18TH ST
2000 BOISE AVE
2555 E 13TH ST #130
2555 E 13TH ST STE 10
2555 E 13TH ST STE 130
914 W 6TH ST
2555 E 13TH ST #110
BANNER HEALTH PHYSICIANS COLORADO LLC
2000 BOISE AVE
2923 GINNALA DR
1647 E 18TH ST
1647 E 18TH ST
BANNER HEALTH PHYSICIANS COLORADO LLC
1900 N BOISE AVE STE 300
2701 MADISON SQ DR
1900 N BOISE AVE STE 410
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
2555 E 13TH ST #110
914 W 6TH ST
2923 GINNALA DR
BANNER HEALTH PHYSICIANS COLORADO LLC
2923 GINNALA DR.
2000 BOISE AVE
3880 N GRANT AVE STE 140
2701 MADISON SQUARE DR
2555 W 13TH ST #110
1813 CHEYENNE AVE UNIT 1
BANNER HEALTH PHYSICIANS COLORADO LLC
2555 E 13TH ST #110
914 W 6TH ST
914 W 6TH ST
BANNER HEALTH PHYSICIANS COLORADO LLC
1813 CHEYENNE AVE UNIT 1
2923 GINNALA DR
1647 E 18TH ST
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
2555 E 13TH ST #130
2923 GINNALA DR.
BANNER HEALTH PHYSICIANS COLORADO LLC
2555 E 13TH ST STE 130
BHCUC
2555 E 13TH ST #110
2555 E 13TH ST STE 110
BANNER HEALTH PHYSICIANS COLORADO LLC
2555 E 13TH ST #110
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
2000 BOISE AVE
2555 E 13TH ST #130
BANNER HEALTH PHYSICIANS COLORADO LLC
2923 GINNALA DR
2701 MADISON SQ DR
2555 E 13TH ST #130
2000 BOISE AVE
914 W 6TH ST
BANNER HEALTH PHYSICIANS COLORADO LLC
1900 N BOISE AVE #300
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
2923 GINNALA DR
2701 MADISON SQUARE DR
BANNER HEALTH PHYSICIANS COLORADO LLC
2923 GINNALA DR.
BANNER HEALTH PHYSICIANS COLORADO LLC
ADDRESS2
222 JOHNSTOWN CENTER DR
222 JOHNSTON CENTER DR
7700 S. BROADWAY
2555 E 13TH ST STE 110
2555 E 13TH ST STE 110
914 W 6TH ST
2923 GINNALA DR
2555 E 13TH ST STE 100
2000 BOISE AVE
1900 N BOISE AVE STE 300
2555 E13TH ST STE 110
1900 N. BOISE AVE. STE. 200
3880 N GRANT AVE STE 140
2000 N. BOISE AVE.
2555 E. 13TH ST STE.110
2555 E 13TH ST STE 110
2555 E 13TH ST STE 110
2555 E 13TH ST STE 110
2555 E13TH ST STE 110
1813 CHEYENNE AVE
2555 E 13TH ST STE 110
1813 CHEYENNE AVE
1900 N BOISE AVE STE 300
1900 N BOISE AVE STE 300
3880 N GRANT AVE STE 140
CITY
JOHNSTOWN
JOHNSTOWN
JOHNSTOWN
JOHNSTOWN
JOHNSTOWN
JOHNSTOWN
JOHNSTOWN
JOHNSTOWN
LAFAYETTE
LITTLETON
LONGMONT
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
ST
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
ZIP
805349030
805349030
80534
80534
80534
80534
850349030
80534
80026
801222633
80501
80538
805385006
805375134
80538
80538
80537
80537
80537
80538
80537
805375134
80538
80538
80538
80538
805375341
805385004
80538
805385004
805382702
80537
80537
80537
80538
80538
80538
80538
80538
80538
80537
80537
805385004
80537
80537
80537
805375134
805384244
80538
80538
80538
805388433
80537
80538
80538
80537
805375134
80537
80537
805375134
80537
805375134
805375134
80538
80537
805375134
80538
80538
80537
80538
80538
805384244
80538
805375134
805384244
805385004
80538
80538
805385004
80538
805388433
SPEC
IMEN
DIR
IM
FP
FP
FP
FP
FP
PAC
IMPU
FP
FP
IM
FP
CNM
NP
PD
PAC
PD
FP
PAC
FP
IM
IM
MWC
MWC
NP
OGGY
FP
OG
AI
IMCV
PAC
FM
NPFA
NPFA
NPFA
IM
FP
FP
FP
OGGY
OGGY
NPFA
FP
NPFA
NPFA
NP
IM
MWC
IM
IMEN
PD
PAC
IM
PD
FP
FP
FM
NPFA
PAC
PAC
PAC
IM
PD
PAC
IM
PAC
PD
IM
FP
IM
OGGY
FP
OGGY
OGGY
IM
FP
OGGY
DIR
FP
SPECIALTY_DESCR
Internal Medicine - Endocrinology, Diabetes & Metabolism
Dietitian, Registered
Internal Medicine
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Physician Assistant
Internal Medicine - Pulmonary Disease
Family Practice
Family Practice
Internal Medicine
Family Practice
Unmapped Specialty Description
Nurse Practitioner
Pediatrics
Physician Assistant
Pediatrics
Family Practice
Physician Assistant
Family Practice
Internal Medicine
Internal Medicine
Midwife, Certified
Midwife, Certified
Nurse Practitioner
Obstetrics & Gynecology - Gynecology
Family Practice
Obstetrics & Gynecology
Allergy & Immunology
Internal Medicine - Cardiovascular Disease
Physician Assistant
Nurse Practitioner - Family
Nurse Practitioner - Family
Nurse Practitioner - Family
Internal Medicine
Family Practice
Family Practice
Family Practice
Obstetrics & Gynecology - Gynecology
Obstetrics & Gynecology - Gynecology
Nurse Practitioner - Family
Family Practice
Nurse Practitioner - Family
Nurse Practitioner - Family
Nurse Practitioner
Internal Medicine
Midwife, Certified
Internal Medicine
Internal Medicine - Endocrinology, Diabetes & Metabolism
Pediatrics
Physician Assistant
Internal Medicine
Pediatrics
Family Practice
Family Practice
Nurse Practitioner - Family
Physician Assistant
Physician Assistant
Physician Assistant
Internal Medicine
Pediatrics
Physician Assistant
Internal Medicine
Physician Assistant
Pediatrics
Internal Medicine
Family Practice
Internal Medicine
Obstetrics & Gynecology - Gynecology
Family Practice
Obstetrics & Gynecology - Gynecology
Obstetrics & Gynecology - Gynecology
Internal Medicine
Family Practice
Obstetrics & Gynecology - Gynecology
Dietitian, Registered
Family Practice
Page 55 of 57
LAST_NAME
TELLO
TERUEL
VALASEK
VALIN
VON NIEDA
WADDELL
WADDELL
WEBSTER
WEISSMANN
WOLF
YOUNG
ZICKEFOOSE
JOHNELL
WILLIAMS-WUCH
MORROW
SAENZ
ANDERSON
ASADI
BOTTONE-POST
BOYCE
BROWN
BROWN
BRUCE
CABRERA
CALLENDER
CHEN
COLIP
CUERVO
DAVIDSON
DEAN
DEMOOR
ENGLERT
FLAKE
FRANCO
GIANSIRACUSA
GILE
HARRIS
HIPP
HOFFMANN
HOLLOS
HORNER
HOWELL
HUGGER
JACOB
JONES
KEEFE
KOMOROWSKI
LOKEN
MARLER
MCCABE LENTZ
MEAD
MERCER
MILANO
MUSGRAVE
NORMAN
OLSEN (KNOCHE)
OLSEN (KNOCHE)
PARLIMENT
PATRICK
PATRICK
PEARSON
REENTS
SCHMIDT
SHEEL
SMITH
SNODGRASS
SUGAR
TELLO
VALASEK
VALIN
VON NIEDA
WEBSTER
WEISSMANN
WOLF
WRAY
WRAY
ZICKEFOOSE
HAILEY
NORMAN
TERUEL
WIESNER
08/22/2013
FIRST_NAME
ROBERT
KATHERINE
PATTI
JAMES
HEIDI
MARTHA
MARTHA
DOUGLAS
COLLEEN
TROY
LINDA
M SUSAN
PATRICE
KERRY
GREGORY
SUZANNE
THOMAS
SHAHRAM
CAROLYN
LYNN
BRIDGET
CYNTHIA
ROBERT
ANTHONY
JOY
EDWARD
MICHAEL
JULIA
LINDA
CYNTHIA
SARAH
THOMAS
ZACHARY
JONATHAN
RICHARD
GLEE
MARCIANN
NAOMI
JULIE
LORI ANN
JILLIAN
ELIZABETH
JANICE
PREMA
JENNIFER
KEVIN
JANELLE
KARLA
MCKAY
JENNIFER
ANDREA
JEANNETTE
WILLIAM
ADAM
EDWARD
KATIE
KATIE
JOEL
AMY
JENNY
ANTONY
WILLIAM
JANET
SAURABH
PETER
DAVID
MELISSA
ROBERT
PATTI
JAMES
HEIDI
DOUGLAS
COLLEEN
TROY
JASON
JESSICA
M SUSAN
MARK
JENNIFER
KATHERINE
MARK
TITLE
MD
MD
CNM
MD
CNM
MD
MD
MD
MD
PA-C
MD
MD
MD
MD
PHONE
(970) 669 6660
(970) 663 5437
(970) 663 9523
(970) 663 0135
(970) 667 2009
(970) 209 6770
(970) 669 6660
(970) 669 6660
(970) 461 6140
(970) 461 6140
(970) 461 6140
(970) 619 3977
(970) 679 8900
(800) 671 8942
9702032164
9706630722
9706630135
9706639523
9702036770
9706635437
9704616140
9706635437
9706678177
9704616140
9702036770
9704616140
9702781862
9706639523
9706639523
(970) 461 6140
9706672009
9706630722
9706672009
9706131745
9704616140
9706694640
9702030047
9706630722
9704616140
9702036801
9704616140
9706673976
9702036801
9706696660
9706639523
PA
9706635437
9706673976
9706635437
9704616140
9704616140
9704616140
9702781862
9706630722
(970) 203 0047
9702781862
9706630722
9706635437
9706694640
9706673975
9706630135
9706696660
9706630772
9706630135
9706696660
9706639523
9706694640
9706672009
9706696660
9706696660
9704616140
9706635437
9706673976
9706635437
9706635437
9706635437
CLINIC NAME
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER MEDICAL GROUP, LLC
BANNER ONCOLOGY SERVICES
BIG THOMPSON ER PHYSICIANS
BIG THOMPSON MEDICAL
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL GROUP
BIG THOMPSON MEDICAL PEDS
BIG THOMPSON MEDICAL PEDS
BIG THOMPSON MEDICAL PEDS
BIG THOMPSON MEDICAL PEDS
ADDRESS1
2923 GINNALA DR
2555 E 13TH ST #130
1647 E 18TH ST
2000 BOISE AVE
1900 N BOISE AVE #300
BIG THOMPSON MEDICAL GROUP
BANNER HEALTH PHYSICIANS COLORADO LLC
2923 GINNALA DR
2923 GINNALA DR
2555 E 13TH ST #110
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
914 W 6TH ST
BANNER ONCOLOGY SERVICES
2000 BOISE AVE
1900 N BOISE AVE #300
2701 MADISON SQUARE DR
2000 BOISE AVE
1647 E 18TH ST
2000 BOISE AVE
2555 E 13TH ST #130
2555 E 13TH ST STE 10
2555 E 13TH ST STE 130
914 W 6TH ST
2555 E 13TH ST #110
2000 BOISE AVE
2555 E 13TH ST STE 110
2923 GINNALA DR
1647 E 18TH ST
1647 E 18TH ST
BIG THOMPSON MEDICAL GROUP INC
1900 N BOISE AVE STE 300
2701 MADISON SQ DR
1900 N BOISE AVE STE 410
2555 E 13TH ST STE 100
2555 E 13TH ST #110
2923 GINNALA DR
2000 BOISE AVE
3880 N GRANT AVE STE 140
2701 MADISON SQUARE DR
2555 W 13TH ST #110
1813 CHEYENNE AVE UNIT 1
2555 E 13TH ST #110
914 W 6TH ST
1813 CHEYENNE AVE UNIT 1
2923 GINNALA DR
1647 E 18TH ST
1813 CHEYENNE AVE UNIT 1
2555 E 13TH ST #130
914 W 6TH ST
2555 E 13TH ST STE 130
2555 E 13TH ST #110
2555 E 13TH ST STE 110
2555 E 13TH ST #110
2000 BOISE AVE
2701 MADISON SQUARE DR
BANNER HEALTH PHYSICIANS COLORADO LLC
2923 GINNALA DR
2701 MADISON SQ DR
2555 E 13TH ST #130
2000 BOISE AVE
914 W 6TH ST
2555 E 13TH ST #110
2000 BOISE AVE
2923 GINNALA DR
2701 MADISON SQUARE DR
2000 BOISE AVE
2923 GINNALA DR
1647 E 18TH ST
2000 BOISE AVE
1900 N BOISE AVE #300
2923 GINNALA DR
2923 GINNALA DR
2555 E 13TH ST #110
2555 E 13TH ST STE 110
2555 E 13TH ST #110
2555 E 13TH STREET #110
914 W 6TH ST
2555 E 13TH ST #130
2555 E 13TH ST #130
2555 E 13TH ST STE130
ADDRESS2
2000 BOISE AVE
2000 N BOISE AVE
2555 E 13TH ST STE 110
2555 E 13TH ST STE 110
2050 N BOISE AVE., STE. B
2555 E 13TH ST STE 110
3880 N GRANT AVE STE 140
CITY
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
ST
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
ZIP
80538
80537
80538
80538
80538
805385006
805385006
80538
80538
80537
805375134
805375134
80537
80538
805385006
80538
80538
805385006
80538
80538
80537
80537
80537
80538
80537
80538
80537
80538
80538
80538
805375134
805385004
80538
805385004
80537
80537
80538
80538
80538
80538
80537
80537
80537
80537
805384244
80538
80538
80538
80537
80538
80537
80537
80537
80537
80538
80538
805388433
80538
80538
80537
80538
80538
80537
80538
80538
80538
80538
80538
80538
80538
80538
80538
80538
80537
80537
80537
80537
80537
80537
80537
80537
SPEC
IM
PD
MWN
IM
MWN
FP
FP
IM
IM
PAC
FP
FP
NPFA
IMHO
PAM
OG
FP
IM
MWN
NPFA
PD
PAC
PD
FP
FP
IM
FP
IM
MWN
MWN
FP
OG
FP
OG
IM
PAC
NPFA
IM
FP
FP
FP
OG
NP
FP
NP
IM
MWN
OG
PD
FP
PD
FP
FP
PAC
IM
PAC
PAC
IM
PAC
PD
IM
FP
FP
IM
IM
FP
IM
IM
MWN
IM
MWN
IM
IM
PAC
PAC
PAC
FP
FP
PD
PD
PD
SPECIALTY_DESCR
Internal Medicine
Pediatrics
Midwife, Certified Nurse
Internal Medicine
Midwife, Certified Nurse
Family Practice
Family Practice
Internal Medicine
Internal Medicine
Physician Assistant
Family Practice
Family Practice
Nurse Practitioner - Family
Internal Medicine - Hematology & Oncology
Physician Assistant - Medical
Obstetrics & Gynecology
Family Practice
Internal Medicine
Midwife, Certified Nurse
Nurse Practitioner - Family
Pediatrics
Physician Assistant
Pediatrics
Family Practice
Family Practice
Internal Medicine
Family Practice
Internal Medicine
Midwife, Certified Nurse
Midwife, Certified Nurse
Family Practice
Obstetrics & Gynecology
Family Practice
Obstetrics & Gynecology
Internal Medicine
Physician Assistant
Nurse Practitioner - Family
Internal Medicine
Family Practice
Family Practice
Family Practice
Obstetrics & Gynecology
Nurse Practitioner
Family Practice
Nurse Practitioner
Internal Medicine
Midwife, Certified Nurse
Obstetrics & Gynecology
Pediatrics
Family Practice
Pediatrics
Family Practice
Family Practice
Physician Assistant
Internal Medicine
Physician Assistant
Physician Assistant
Internal Medicine
Physician Assistant
Pediatrics
Internal Medicine
Family Practice
Family Practice
Internal Medicine
Internal Medicine
Family Practice
Internal Medicine
Internal Medicine
Midwife, Certified Nurse
Internal Medicine
Midwife, Certified Nurse
Internal Medicine
Internal Medicine
Physician Assistant
Physician Assistant
Physician Assistant
Family Practice
Family Practice
Pediatrics
Pediatrics
Pediatrics
Page 56 of 57
LAST_NAME
BENEDICT
ROBERSON
NOEL
LIBBY
BEE
DUNN
HALBERT
HAMNER
NEUHAUSER
NEUHAUSER
WALTS
WORCESTER
LARSON
RINNE
MAKER
PATRICK
CARLSON
HOLAN
KOH
SOUTHERN
CHRISTNER
MEDUNA
ADLER
BACON
BANGA
CARPENTER
FILLION
HABLUTZEL
JOYCE
MACKINTOSH
NIX
RENNER
SOPER
WALKER
WALKER
SHIELDS
SULLIVAN
EKLUND
BRICKL
COBURN
LESAGE
ABU QWAIDER
BARKER
HERGERT
HOWELL
KARY
KESSINGER
LEASE
SADLER
SHERIF
SLACK
TARRY YOO
BARKER
KARY
KESSINGER
DETTERER
DOFT
SLACK
ACCUPATH DIAGNOSTIC
FMC SE WY CHEYENNE
DJO, LLC
QUEST DIAGNOSTICS
SHENKENBERG
BECK
BERRY
CANTU
SMITH
WILKINS
ADVANCE PARADIGM
GENTIVA HOSPICE
PEREZ
08/22/2013
FIRST_NAME
AMANDA
NICOLE
CHRISTOPHER
ARLENE
CHRISTOPHER
CORY
RICHARD
HARRY
THOMAS
THOMAS
MICHAEL
HEATH
SHELLIE
PAUL
RACHELLE
BRADLEY
ROBERT
JENNIFER
KILSAN
EDWARD
HELENE
DONALD
SIDNEY
JEFFREY
NEIL
PAULETTE
ROBERT
BONNIE
JOHN
ADAM
SHIRLEY
MATTHEW
THOMAS
DOMINIQUE
ELIZABETH
AMBER
THOMAS
LARRY
IAN
THOMAS
MARGARET
YAZAN
LANCE
TERESA
ELIZABETH
JONATHAN
TRINA
ANNE
CORINN
AHMED
KENNETH
STEPHANIE
LANCE
JONATHAN
TRINA
SHARI
ANTHONY
KENNETH
TITLE
AMY
NATALIE
MILLARD
NORMA
MARION
ANNA
MD
FNP
MD
PEDRO
MD
MD
MD
MD
MBA
PHONE
9702213489
(970) 493 7442
9706672009
9704616091
9704616091
(970) 461 6091
9704616091
9704616091
(970) 353 5136
(970) 353 5136
9704616091
(866) 281 3494
9704812563
(970) 249 5587
9705265555
9705265555
9705225720
(970) 526 8100
9705268100
9705268100
9705265555
9705213223
9705213223
9705225720
9705268100
(970) 521 3223
9705213223
9705268100
9705213223
9705213223
9705268100
9705213223
(970) 526 8100
9705213132
MD
DO
MD
MD
MD
MD
9705687161
(970) 224 1670
9706860124
9706860124
(970) 686 5646
(970) 378 4676
(970) 686 5646
(970) 686 5646
(970) 686 5646
(970) 392 2026
(970) 378 4475
(970) 686 5646
(970) 378 4475
9706865646
(970) 686 5646
9706865646
9702232272
9702232272
9702232272
9494500145
(480) 632 3380
(800) 321 9549
(303) 899 6000
(800) 461 0256
MD
MD
4807075726
(205) 870 4340
(907) 341 7757
CLINIC NAME
ADDRESS1
FORT COLLINS YOUTH CLINIC
2695 ROCKY MOUNTAIN AVE 260
FT COLLINS WOMENS CLINIC DBA WOMEN'S CLINIC OF NORTHERN
WCNC LOVELAND
CO
MMC SPECIALTY CLINIC
1900 N BOISE AVE
SUMMIT PATHOLOGY
2555 E 13TH ST STE 120
SUMMIT PATHOLOGY, PLLP
2555 E 13TH ST STE 120
SUMMIT PATHOLOGY, PLLP
2555 E 13TH STE 120
SUMMIT PATHOLOGY, PLLP
2555 E 13TH ST STE 120
SUMMIT PATHOLOGY, PLLP
2555 E 13TH ST STE 120
SUMMIT PATHOLOGY, PLLP
5802 WRIGHT DR.
SUMMIT PATHOLOGY, PLLP
MCKEE MEDICAL CENTER OP
SUMMIT PATHOLOGY, PLLP
2555 E 13ST ST STE 120
SUMMIT PATHOLOGY, PLLP
SUMMITH PATH OFFICE
WINGS TO CHANGE, LLC
8824 N GLADE RD
ANESTHESIOLOGY CONSULTANTS
63445 RANGER RD
BANNER ONCOLOGY SERVICES
615 FAIRHURST ST
BANNER GREELEY ANESTHESIA
615 FAIRHURST ST
BANNER HEALTH PHYSICIANS COLORADO LLC
615 FAIRHURST ST
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO, LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
1405 S 8TH AVE STE 101
BANNER HEALTH PHYSICIANS COLORADO LLC
1405 S 8TH AVE STE 101
BANNER ONCOLOGY SERVICES
615 FAIRHURST
BANNER STERLING SPECIALISTS
615 FAIRHURST ST
FAMILY CARE CLINIC
1405 S 8TH AVE STE 105
FAMILY CARE CLINIC
615 FAIRHURST
FAMILY CARE CLINIC
1405 S 8TH AVE STE 101
FAMILY CARE CLINIC
615 FAIRHURST
FAMILY CARE CLINIC
615 FAIRHURST ST
FAMILY CARE CLINIC
615 FAIRHURST
FAMILY CARE CLINIC
615 FAIRHURST
FAMILY CARE CLINIC
615 FAIRHURST ST
FAMILY CARE CLINIC
615 FAIRHURST ST
FAMILY CARE CLINIC
615 FAIRHURST ST
FAMILY CARE CLINIC
615 FAIRHURST ST
FAMILY CARE CLINIC
FAMILY CARE CLINIC
FAMILY CARE CLINIC
615 FAIRHURST
STERLING REGIONAL MEDICAL CENTER
615 FAIRHURST ST
STERLING REGIONAL MEDICAL CENTER
615 FAIRHURST ST
WELLINGTON EYE CARE
PO BOX 350
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
ASSOCIATES IN FAMILY MEDICINE
1455 MAIN ST STE 150
ASSOCIATES IN FAMILY MEDICINE
1455 MAIN ST STE 150
BANNER HEALTH PHYSICIANS COLORADO LLC
1300 MAIN ST
BANNER HEALTH PHYSICIANS COLORADO LLC
1300 MAIN ST
BANNER HEALTH PHYSICIANS COLORADO LLC
1300 MAIN ST.
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
1300 MAIN ST
BANNER HEALTH PHYSICIANS COLORADO LLC
1300 MAIN ST
BANNER HEALTH PHYSICIANS COLORADO LLC
1300 MAIN ST.
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
1300 MAIN ST.
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
BANNER HEALTH PHYSICIANS COLORADO LLC
1300 MAIN ST
BANNER MEDICAL GROUP, LLC
1300 MAIN ST
BANNER MEDICAL GROUP, LLC
1300 MAIN ST
BANNER MEDICAL GROUP, LLC
1300 MAIN ST
BIG THOMPSON MEDICAL GROUP
8201 SPINNAKER BAY DR STE D
BIG THOMPSON MEDICAL GROUP
8201 SPINNAKER DR STE D
BIG THOMPSON MEDICAL GROUP
8201 SPINNAKER DR STE D
ACCUPATH DIAGNOSTIC
2601 CAMPUS DR
FRESENIUS MEDICAL CARE OF CHEYENNE
PO BOX 749620
DJO, LLC
1430 DECISION ST
QUEST DIAGNOSTICS
8403 FALLBROOK AVENUE
BANNER HEALTH PHYSICIANS COLORADO LLC
BHCUC
BANNER HEALTH PHYSICIANS WEST LLC
BANNER HEALTH PHYSICIANS WEST LLC
BANNER HEALTH PHYSICIANS WEST LLC
PO BOX 52631
BANNER HEALTH PHYSICIANS WEST LLC
PO BOX 52631
BANNER HEALTH PHYSICIANS WEST LLC
BHCLC ALBANY
BANNER HEALTH PHYSICIANS WEST LLC
PO BOX 52631
ADVANCEPCS
C/O A/R 9501 E SHEA BLVD
GENTIVA HOSPICE
2000B SOUTH BRIDGE PARKWAY SUITE 150
ALASKA MEDICAL CLINICS
ALASKA MEDICAL CLINICS
ADDRESS2
2500 ROCKY MTN. AVE. STE. 2-150
2000 BOISE AVE
5802 WRIGHT DRIVE
1405 S 8TH AVE STE 105
615 FAIRHURST
1455 MAIN STREET STE 150
1300 MAIN ST
1300 MAIN ST
1300 MAIN ST
2001 70TH AVE. STE. 110
PO BOX 52631
625 ALBANY AVE.
300 E. DIMOND BLVD. STE. 12
CITY
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
LOVELAND
MONTROSE
STERING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
WELLINGTON
WINDSOR
WINDSOR
WINDSOR
WINDSOR
WINDSOR
WINDSOR
WINDSOR
WINDSOR
WINDSOR
WINDSOR
WINDSOR
WINDSOR
WINDSOR
WINDSOR
WINDSOR
WINDSOR
WINDSOR
WINDSOR
WINDSOR
WINDSOR
IRVINE
LOS ANGELES
VISTA
WEST HILLS
PHOENIX
PHOENIX
PHOENIX
PHOENIX
PHOENIX
PHOENIX
SCOTTSDALE
BIRMINGHAM
ANCHORAGE
ST
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CA
CA
CA
CA
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AL
AK
ZIP
80538
805389004
80538
80537
80537
80537
80537
80538
80538
805385006
80537
80538
80538
81401
80751
80751
80751
807514560
807514563
807514563
807514523
807514523
807514560
80751
807514560
807514523
80751
80751
80751
80751
80751
80751
80751
80751
80751
80751
80751
80549
805505561
805505561
805505561
80550
80550
80550
805505989
80550
80550
80550
805505989
80550
805505989
80550
80550
80550
80550
80528
80528
80528
92612
90074
92081
91304
850722631
850722631
850722631
850722631
822401530
850722631
85260
35209
99515
SPEC
PAC
OG
NPFA
PGCY
PGLB
PGCL
IMHO
PGCL
PGAP
PGCL
PGCL
PGCL
CUMF
AN
NPFA
AN
SU
OG
SU
OR
NPFA
RADR
OG
FP
SU
NP
IM
MWN
OG
FP
FP
OG
IM
FP
OG
EM
EM
OD
FP
FP
FP
IMGI
IM
NPFA
OGGY
FP
FP
NPFA
IM
IMGI
OGGY
DIR
IM
FP
FP
NP
FP
OG
LBCL
DLS
DME
LBCL
FP
FP
FP
FP
FP
FP
PHY
HPC
FP
SPECIALTY_DESCR
Physician Assistant
Obstetrics & Gynecology
Nurse Practitioner - Family
Pathology - Cytopathology
Pathology - Clinical Pathology/Laboratory Medicine
Pathology - Anatomic Pathology & Clinical Pathology
Internal Medicine - Hematology & Oncology
Pathology - Anatomic Pathology & Clinical Pathology
Pathology - Anatomic Pathology
Pathology - Anatomic Pathology & Clinical Pathology
Pathology - Anatomic Pathology & Clinical Pathology
Pathology - Anatomic Pathology & Clinical Pathology
Marriage & Family Therapist
Anesthesiology
Nurse Practitioner - Family
Anesthesiology
Surgery
Obstetrics & Gynecology
Surgery
Orthopaedic Surgery
Nurse Practitioner - Family
Radiology - Diagnostic Radiology
Obstetrics & Gynecology
Family Practice
Surgery
Nurse Practitioner
Internal Medicine
Midwife, Certified Nurse
Obstetrics & Gynecology
Family Practice
Family Practice
Obstetrics & Gynecology
Internal Medicine
Family Practice
Obstetrics & Gynecology
Emergency Medicine
Emergency Medicine
Optometrist
Family Practice
Family Practice
Family Practice
Internal Medicine - Gastroenterology
Internal Medicine
Nurse Practitioner - Family
Obstetrics & Gynecology - Gynecology
Family Practice
Family Practice
Nurse Practitioner - Family
Internal Medicine
Internal Medicine - Gastroenterology
Obstetrics & Gynecology - Gynecology
Dietitian, Registered
Internal Medicine
Family Practice
Family Practice
Nurse Practitioner
Family Practice
Obstetrics & Gynecology
Clinical Medical Laboratory
DIALYSIS CENTER
Clinical Medical Laboratory
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Pharmacy
HOSPICE
Family Practice
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