Provider Demographics
NPI:1275616377
Name:ROMANO, JOHN E (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:E
Last Name:ROMANO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5320 EDUCATION DR
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-4058
Mailing Address - Country:US
Mailing Address - Phone:307-632-5589
Mailing Address - Fax:307-635-3691
Practice Address - Street 1:5320 EDUCATION DR
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-4058
Practice Address - Country:US
Practice Address - Phone:307-632-5589
Practice Address - Fax:307-635-3691
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WY6663A207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYE54841Medicare UPIN