NPI 1245365154 · live from the CMS NPI Registry
Big Horn Foot Clinic PC
Podiatrist, Foot & Ankle Surgery in Powell, WY. National Provider Identifier 1245365154, active.
NPI record
| NPI | 1245365154 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 777 Avenue H, Powell, WY 82435 |
| Practice phone | 307-754-9191 |
| Enumerated | February 22, 2007 |
| Last updated | September 16, 2014 |
| Authorized official | Lael Beachler, Podiatrist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 139 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.