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Organization
POWDER RIVER PHYSICAL MEDICINE & REHABILITATION, LLC
Active
Organization
POWDER RIVER PHYSICAL MEDICINE & REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA LEE WALBY MD (MANAGER)
(307) 206-4990
Entity
Organization
Contact information
Practice address
3100 W LAKEWAY RD, SUITE 3, GILLETTE, WY 82718-6372
(307) 206-4990
(307) 363-4033
Mailing address
3100 W LAKEWAY RD, SUITE 3, GILLETTE, WY 82718-6372
(307) 206-4990
(307) 363-4033
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
10678A
WY
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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