Provider Demographics
NPI:1558309831
Name:FINLEY, JOHN W (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:W
Last Name:FINLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1842 SUGARLAND DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-5775
Mailing Address - Country:US
Mailing Address - Phone:307-673-4960
Mailing Address - Fax:307-673-4960
Practice Address - Street 1:1842 SUGARLAND DR
Practice Address - Street 2:SUITE 103
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-5775
Practice Address - Country:US
Practice Address - Phone:307-673-4960
Practice Address - Fax:307-673-4960
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WY5584A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY119535200Medicaid
WY20015Medicare ID - Type Unspecified