BIG HORN FOOT CLINIC, PC; NPI #1003050253

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

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NPI Profile & details for BIG HORN FOOT CLINIC, PC

NPI # 1003050253

LBN Legal business name BIG HORN FOOT CLINIC, PC

Authorized official DUNCAN FRASER - (PODIATRIST/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/30/2009

Last updated 04/30/2009 - About 17 years ago

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

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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BIG HORN FOOT CLINIC, PC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for BIG HORN FOOT CLINIC, PC

Reviews for BIG HORN FOOT CLINIC, PC