Provider Demographics
NPI:1033285614
Name:STIRLING, CORY JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:CORY
Middle Name:JAMES
Last Name:STIRLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 E A ST STE 104
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-2211
Mailing Address - Country:US
Mailing Address - Phone:307-237-1900
Mailing Address - Fax:307-268-8514
Practice Address - Street 1:1300 E A ST STE 104
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2211
Practice Address - Country:US
Practice Address - Phone:307-237-1900
Practice Address - Fax:307-268-8514
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY6280A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY114744700Medicaid
WY308268Medicare ID - Type UnspecifiedMEDICARE
WY114744700Medicaid