NPI 1215197041 · live from the CMS NPI Registry
Angus Goetz DO PC
Orthopaedic Surgery in Jackson, WY. National Provider Identifier 1215197041, active.
NPI record
| NPI | 1215197041 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 945 W Broadway, Suite 202, Jackson, WY 83001 |
| Practice phone | 307-734-5999 |
| Mailing address | Po Box 11359, Jackson, WY 83002 |
| Enumerated | June 16, 2008 |
| Last updated | June 16, 2008 |
| Authorized official | Angus Goetz, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | TL981 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.