NPI 1104811504 · live from the CMS NPI Registry
Jean Denise Basta, MD
Orthopaedic Surgery in Cheyenne, WY. National Provider Identifier 1104811504, active.
NPI record
| NPI | 1104811504 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 2301 House Ave, Suite 505, Cheyenne, WY 82001 |
| Practice phone | 307-632-9261 |
| Enumerated | September 13, 2005 |
| Last updated | October 29, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | 6885A (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.