Mitchel Taylor, OD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Laramie, WY

NPI 1386587244 · NPPES record last updated Apr 13, 2026

Key facts

NPI
1386587244
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
229 Two Rivers Rd
Laramie, WY 82072-8901
Phone
(307) 321-0839
NPI assigned
Apr 13, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

229 Two Rivers Rd
Laramie, WY 82072-8901

Mailing address

229 Two Rivers Rd
Laramie, WY 82072-8901
Phone (307) 321-0839

Other providers in Laramie, WY

All providers in Laramie, WY · Student in an Organized Health Care Education/Training Program in Wyoming

Sources for this page

Verify at the official NPI Registry.