Organization
BIG HORN FOOT CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAEL J BEACHLER D.P.M. (PODIATRIST)
(307) 754-9191
Entity
Organization
Contact information
Practice address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-9191
(307) 954-1291
Mailing address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-9191
(307) 954-1291
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
139
WY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114923463
NPI# D. HUGH FRASER DPM
WY
05
—
113976200
—
WY
05
—
133719000
—
WY
01
—
1922241181
DR. BEACHLER'S NPI
—
01
—
307844
BLUE CROSS BLUE SHIELD #
WY
Enumeration date
02/22/2007
Last updated
09/16/2014
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