# POWDER RIVER IMAGING, LLC

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

## Provider details

- **NPI number:** 1912058165
- **Authorized official:** MR. CURTIS DUGGER (CFO)
- **Authorized official phone:** (307) 358-2122

## Contact information

- **Practice address:** 111 S 5TH ST, DOUGLAS, WY 82633-2434
- **Practice address phone:** (307) 358-2122
- **Practice address fax:** (307) 358-9216
- **Mailing address:** PO BOX 1729, DOUGLAS, WY 82633-1729
- **Mailing address phone:** (307) 358-2122
- **Mailing address fax:** (307) 358-9216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | WY | Yes |

## Other

- **Enumeration date:** 01/15/2007
- **Last updated:** 01/13/2012