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Organization
MOUNTAIN VALLEY FOOT CLINIC INC
Active
Organization
MOUNTAIN VALLEY FOOT CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA J TROTTER DPM (PODIATRIST OWNER)
(307) 856-1223
Entity
Organization
Contact information
Practice address
904 WEST SUNSET DR, RIVERTON, WY 82501
(307) 856-1223
(307) 857-0488
Mailing address
PO BOX 6009, RIVERTON, WY 82501
(307) 856-1223
(307) 857-0488
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
112
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311535
BCBS
WY
Enumeration date
07/18/2006
Last updated
08/22/2020
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