NPI 1366412397 · live from the CMS NPI Registry
Gem City Bone & Joint PC
Orthopaedic Surgery in Laramie, WY. National Provider Identifier 1366412397, active.
NPI record
| NPI | 1366412397 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 1909 Vista Dr, Laramie, WY 82070 |
| Practice phone | 307-745-8851 |
| Enumerated | January 24, 2006 |
| Last updated | January 21, 2021 |
| Authorized official | Jana Suazo, Director Of Human Resources |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neuromusculoskeletal Medicine, Sports Medicine | 204C00000X | — |
| Physical Medicine & Rehabilitation, Pain Medicine | 2081P2900X | — |
| Surgery | 208600000X | — |
| General Practice | 208D00000X | — |
| Physical Therapist | 225100000X | — |
| Occupational Therapist | 225X00000X | — |
| Clinic/Center, Radiology | 261QR0200X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Orthopaedic Surgery primary | 207X00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.