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BIG HORN FOOT CLINIC PC
Surgery, Foot & Ankle

NPI Profile for BIG HORN FOOT CLINIC PC in CODY, WY.

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Contact Information

BIG HORN FOOT CLINIC, PC
424 YELLOWSTONE AVE
SUITE 140
CODY, WY  82414-9318
 Phone: 307-527-9191
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

 213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BIG HORN FOOT CLINIC PC · (Female)

NPI # 1003050253
Status Active
Credentials
Entity Individual
Enumeration date 04/30/2009
Last updated 04/30/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY License # 104
  • WY Medicaid 113976200
  • WY Other 307844 BLUE CROSS BLUE SHIELD
  • WY Other 1245365154 DMERC NPI FOR 777 AVENUE H POWELL, WY 82435
  • WY Other 1114923463 NPI FOR D HUGH FRASER DPM
  • WY Other 480027493 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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