NPI 1003050253 · live from the CMS NPI Registry
Big Horn Foot Clinic, PC
Podiatrist, Foot & Ankle Surgery in Cody, WY. National Provider Identifier 1003050253, active.
NPI record
| NPI | 1003050253 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 424 Yellowstone Ave, Suite 140, Cody, WY 82414 |
| Practice phone | 307-527-9191 |
| Mailing address | 777 Avenue H, Powell, WY 82435 |
| Enumerated | April 30, 2009 |
| Last updated | April 30, 2009 |
| Authorized official | Duncan Fraser, Podiatrist/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 104 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.