# ROCKY MOUNTAIN PM&R LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1679851570
- **Authorized official:** CARLOS L BUCKNER MD (PHYSICIAN / OWNER)
- **Authorized official phone:** (307) 333-6567

## Contact information

- **Practice address:** 5880 ENTERPRISE STE 400, CASPER, WY 82609-4295
- **Practice address phone:** (307) 333-6567
- **Practice address fax:** (307) 333-6569
- **Mailing address:** PO BOX 2170, MILLS, WY 82644-2170
- **Mailing address phone:** (307) 333-1620
- **Mailing address fax:** (307) 242-5615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2011
- **Last updated:** 06/20/2024