Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STANFORD B TRACHTENBERG, M.D.
Active Sole ProprietorDR. STANFORD B TRACHTENBERG, M.D. is a Diagnostic Radiology healthcare provider located in WILSON, Wyoming. NPI 1619287414 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · WILSON, WY
Registration Details
- NPI Number
- 1619287414
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 14, 2010 (15.867240292275 yrs)
- Last Updated
- Oct 14, 2010
- License
-
5033A (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3680 LAKE CREEK DRIVEWILSON, WY, 83014Browse WY providers · Browse ZIP 83014
- Phone
- 3077333642
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.