Organization · Type 2 NPI
Big Horn Foot Clinic PC
Foot & Ankle Surgery Podiatrist · Powell, WY
NPI number
1245365154
Active
Practice location
777 Avenue H
Powell, WY 82435-2260
Fax (307) 954-1291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 139 (WY) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1245365154
Big Horn Foot Clinic PC's National Provider Identifier is 1245365154, issued on Feb 22, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Powell, WY. The record was last updated on Sep 16, 2014.