NPI 1023451648 · live from the CMS NPI Registry
Tony G Pedri, MD
Orthopaedic Surgery in Rock Springs, WY. National Provider Identifier 1023451648, active.
NPI record
| NPI | 1023451648 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 1180 College Dr, Rock Springs, WY 82901 |
| Practice phone | 307-212-7770 |
| Mailing address | Po Box 1359, Rock Springs, WY 82902 |
| Enumerated | April 12, 2013 |
| Last updated | January 23, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 63335 (MN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — (NM) |
| Orthopaedic Surgery primary | 207X00000X | 12430A (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.