NPI 1104883461 · live from the CMS NPI Registry
Thunder Basin Orthopaedics And Sports Medicine PC
Orthopaedic Surgery in Douglas, WY. National Provider Identifier 1104883461, active.
NPI record
| NPI | 1104883461 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 111 S 5th St, Douglas, WY 82633 |
| Practice phone | 307-358-6200 |
| Mailing address | Po Box 688, Douglas, WY 82633 |
| Enumerated | April 28, 2006 |
| Last updated | July 29, 2022 |
| Authorized official | Mark Murphy, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.