Big Horn Foot Clinic, Pc | |
424 Yellowstone Ave, Suite 140, Cody, WY 82414-9318 | |
(307) 527-9191 | |
Not Available |
Full Name | Big Horn Foot Clinic, Pc |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 424 Yellowstone Ave, Cody, Wyoming |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003050253 | NPI | - | NPPES |
1245365154 | Other | WY | DMERC NPI FOR 777 AVENUE H POWELL, WY 82435 |
113976200 | Medicaid | WY | |
1114923463 | Other | WY | NPI FOR D HUGH FRASER DPM |
307844 | Other | WY | BLUE CROSS BLUE SHIELD |
480027493 | Other | WY | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 104 (Wyoming) | Primary |
Mailing Address | Practice Location Address |
---|---|
Big Horn Foot Clinic, Pc 777 Avenue H, Powell, WY 82435-2260 Ph: (307) 754-9191 | Big Horn Foot Clinic, Pc 424 Yellowstone Ave, Suite 140, Cody, WY 82414-9318 Ph: (307) 527-9191 |
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