Individual
JIMMIE G BILES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 LINDSAY LANE, SUITE B, CODY, WY 82414
(307) 578-1945
(307) 578-1956
Mailing address
720 LINDSAY LANE, SUITE B, CODY, WY 82414-4103
(307) 578-1953
(307) 578-1956
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3909A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102410800
—
WY
01
—
179164
WORKER COMP
WA
01
—
200009940
MEDICARE RAILROAD
WY
05
—
297555
—
OR
01
—
302474
BLUE CROSS BLUE SHIELD
WY
05
—
3505047
—
MT
05
—
MD323WY
—
AK
Enumeration date
09/27/2006
Last updated
06/28/2016
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