Organization
ROCKY MOUNTAIN VEIN CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L JOHNSON II M.D. (PRESIDENT)
(307) 527-7129
Entity
Organization
Contact information
Practice address
125 W YELLOWSTONE AVE, CODY, WY 82414-8723
(307) 527-7129
(307) 587-7394
Mailing address
2820 CENTRAL AVE STE A, BILLINGS, MT 59102-8624
(406) 896-2447
(406) 896-2491
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
6172A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123009300
—
WY
Enumeration date
06/10/2006
Last updated
10/01/2020
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