NPI 1174764757 · live from the CMS NPI Registry
Big Horn Family Medicine LLC
Family Medicine in Worland, WY. National Provider Identifier 1174764757, active.
NPI record
| NPI | 1174764757 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 316 N 10th St, Worland, WY 82401 |
| Practice phone | 307-347-8885 |
| Enumerated | March 12, 2009 |
| Last updated | March 12, 2009 |
| Authorized official | Edward Zimmerman, Owner/Physician |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 8034A (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.