# BIG HORN FOOT CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245365154
- **Authorized official:** LAEL J BEACHLER D.P.M. (PODIATRIST)
- **Authorized official phone:** (307) 754-9191

## Contact information

- **Practice address:** 777 AVENUE H, POWELL, WY 82435-2260
- **Practice address phone:** (307) 754-9191
- **Practice address fax:** (307) 954-1291
- **Mailing address:** 777 AVENUE H, POWELL, WY 82435-2260
- **Mailing address phone:** (307) 754-9191
- **Mailing address fax:** (307) 954-1291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 139 | WY | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 09/16/2014