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Contact Information

WIND RIVER PODIATRIC MEDICINE AND SURGERY, PC
1005 COLLEGE VIEW DR
SUITE 4
RIVERTON, WY82501-2266
 Phone: 307-857-3488
 Fax: 307-857-5215
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for WIND RIVER PODIATRIC MEDICINE AND SURGERY, PC

NPI # 1518118017
LBN Legal business name WIND RIVER PODIATRIC MEDICINE AND SURGERY, PC
Authorized official AARON DONALDSON - (SOLE OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2008
Last updated 09/22/2009 - About 17 years ago
Identifiers
WY License # 130
WY Medicaid 1518118017
WY Other D05546 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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