Provider Demographics
NPI:1700945789
Name:ABELS, DUANE (DO)
Entity Type:Individual
Prefix:DR
First Name:DUANE
Middle Name:
Last Name:ABELS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 W ELM STREET
Mailing Address - Street 2:
Mailing Address - City:RAWLINS
Mailing Address - State:WY
Mailing Address - Zip Code:82301
Mailing Address - Country:US
Mailing Address - Phone:307-324-2221
Mailing Address - Fax:307-324-8232
Practice Address - Street 1:2221 W ELM STREET
Practice Address - Street 2:
Practice Address - City:RAWLINS
Practice Address - State:WY
Practice Address - Zip Code:82301
Practice Address - Country:US
Practice Address - Phone:307-324-2221
Practice Address - Fax:307-324-8232
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYWY 2916A207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY107205600Medicaid
WY1399310OtherUMWA
WY185872500OtherFEDERAL WORKERS COMP
WY104736100Medicaid
WY107205600Medicaid
WY185872500OtherFEDERAL WORKERS COMP
WYE14135Medicare UPIN
WY306495Medicare ID - Type Unspecified
WY4370549Medicare ID - Type UnspecifiedMEDICARE GROUP