Organization
THUNDER BASIN ORTHOPAEDICS AND SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK G MURPHY MD (PRESIDENT)
(307) 358-6200
Entity
Organization
Contact information
Practice address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-6200
(307) 358-3748
Mailing address
PO BOX 688, DOUGLAS, WY 82633-0688
(307) 358-6200
(307) 358-3748
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120503000
—
WY
Enumeration date
04/28/2006
Last updated
07/29/2022
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