Organization
BIG HORN FOOT CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUNCAN HUGH FRASER D.P.M. (PODIATRIST/OWNER)
(307) 527-9191
Entity
Organization
Contact information
Practice address
424 YELLOWSTONE AVE, SUITE 140, CODY, WY 82414-9318
(307) 527-9191
Mailing address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-9191
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
104
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114923463
NPI FOR D HUGH FRASER DPM
WY
05
—
113976200
—
WY
01
—
1245365154
DMERC NPI FOR 777 AVENUE H POWELL, WY 82435
WY
01
—
307844
BLUE CROSS BLUE SHIELD
WY
01
—
480027493
RAILROAD MEDICARE
WY
Enumeration date
04/30/2009
Last updated
04/30/2009
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