last_name first_name title phone clinic name address1
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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 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WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY WY 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 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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 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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. 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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 (307) 235 5433 (307) 235 5433 (307) 235 5433 (307) 235 5433 (307) 235 5433 3037901515 3075775204 3075775204 3075775204 3075775204 3072349381 8008227201 8008227201 8008227201 8008227201 8008227201 8008227201 8008227201 8008227201 8008227201 8008227201 8008227201 8008227201 8008227201 8008227201 8008227201 8008227201 8008227201 8008227201 8008227201 8008227201 8008227201 8008227201 8008227201 8776890005 8776890005 (307) 234 3638 3072346554 (307) 235 8552 3072652555 3072652555 (307) 266 3076 (307) 266 3076 (307) 266 3076 (307) 266 3076 (307) 266 3076 (307) 266 3076 (307) 266 3076 (307) 266 3076 (307) 266 3076 (307) 266 3076 (307) 266 3076 (307) 266 3076 (307) 266 3076 (307) 266 3076 (307) 266 3076 (307) 266 3076 (307) 266 3076 (307) 266 3076 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 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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 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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 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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. 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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. 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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. 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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 (307) 773 8133 (307) 426 4676 (307) 773 8133 (307) 773 8133 MD PAC MD MD APRN MD MD OD OD MD CNM DO (307) 773 8133 (307) 773 8133 (307) 635 0226 3076350226 (307) 635 0226 (307) 635 0226 3076350226 (307) 633 8121 (307) 635 4131 (307) 635 4131 (307) 635 4131 (307) 635 4131 (307) 635 4131 (913) 578 4468 (913) 578 4468 (307) 638 6610 3076386610 (307) 638 6610 (307) 638 6610 3076386610 3076386610 (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 3076372800 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 3079200992 (307) 631 3734 3076370255 (307) 287 6206 3076350000 (307) 634 6662 3076329970 (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. 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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. 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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 - 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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 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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 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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 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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 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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 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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 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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. 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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 Neurological Surgery Pain Medicine - Pain Management Neurological Surgery Neurological Surgery Anesthesiology Neurological Surgery 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 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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 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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 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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. 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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 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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 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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 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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 82901 82901 82901 82901 82901 82901 82901 82901 82901 82901 82901 82901 82901 82901 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 752848001 752848001 752848001 752848001 752848001 752848001 752848001 752848001 752848001 752848001 752848001 752848001 752848001 752848001 752848001 752848001 752848001 752848001 752848001 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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. 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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 - 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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 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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 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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 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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 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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 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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 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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. 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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 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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 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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 Page 57 of 57