NPI 1164865796 · live from the CMS NPI Registry
Sandra Susanne Gebhart, MD
Orthopaedic Surgery, Hand Surgery in Gillette, WY. National Provider Identifier 1164865796, active.
NPI record
| NPI | 1164865796 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Hand Surgery 207XS0106X |
| Practice location | 2901 Powder Basin Ave, Gillette, WY 82718 |
| Practice phone | 307-682-6222 |
| Mailing address | Po Box 688, Douglas, WY 82633 |
| Enumerated | April 13, 2013 |
| Last updated | September 24, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 2018013765 (MO) |
| Orthopaedic Surgery, Hand Surgery primary | 207XS0106X | 12214A (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.