NPI 1629571963 · live from the CMS NPI Registry
Big Horn Ankle & Foot LLC
Podiatrist, Foot & Ankle Surgery in Powell, WY. National Provider Identifier 1629571963, active.
NPI record
| NPI | 1629571963 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 | March 13, 2018 |
| Last updated | March 13, 2018 |
| Authorized official | Lael Beachler, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.