Provider Demographics
NPI:1215980370
Name:STAMPS, THOMAS SANDERS (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:SANDERS
Last Name:STAMPS
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:LANDER MEDICAL CLINIC, P.C.
Mailing Address - Street 2:745 BUENA VISTA DR.
Mailing Address - City:LANDER
Mailing Address - State:WY
Mailing Address - Zip Code:82520-3919
Mailing Address - Country:US
Mailing Address - Phone:307-332-2941
Mailing Address - Fax:
Practice Address - Street 1:115 WYOMING ST
Practice Address - Street 2:
Practice Address - City:LANDER
Practice Address - State:WY
Practice Address - Zip Code:82520-3919
Practice Address - Country:US
Practice Address - Phone:307-332-2185
Practice Address - Fax:307-332-7799
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY8178A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics