NPI 1497857262 · live from the CMS NPI Registry
Tyler Ann Marshall, D.P.M.
Podiatrist, Foot & Ankle Surgery in Cheyenne, WY. National Provider Identifier 1497857262, active.
NPI record
| NPI | 1497857262 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 2360 E Pershing Blvd, Cheyenne, WY 82010 |
| Practice phone | 307-778-7550 |
| Mailing address | 2710 Carey Ave, Cheyenne, WY 82001 |
| Enumerated | September 2, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 647 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.