NPI 1356335533 · live from the CMS NPI Registry
Powder River Orthopedics & Spine PC
Orthopaedic Surgery in Gillette, WY. National Provider Identifier 1356335533, active.
NPI record
| NPI | 1356335533 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 508 Stocktrail Ave, Ste A, Gillette, WY 82716 |
| Practice phone | 307-686-1413 |
| Enumerated | September 2, 2005 |
| Last updated | November 1, 2007 |
| Authorized official | Michelle Mordecai, Office Manager |
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.