NPI 1396305207 · live from the CMS NPI Registry
Samuel David Cross, MD
Family Medicine in Ethete, WY. National Provider Identifier 1396305207, active.
NPI record
| NPI | 1396305207 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 707 Blue Sky Hwy, Ethete, WY 82520 |
| Practice phone | 307-856-9281 |
| Mailing address | 363 Sweetwater St Fl 2, Lander, WY 82520 |
| Enumerated | June 13, 2019 |
| Last updated | October 5, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 14953A (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.