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Organization

GEM CITY BONE & JOINT PC

Active
Find providers by NPI
Organization

GEM CITY BONE & JOINT PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANA SUAZO (DIRECTOR OF HUMAN RESOURCES)
(307) 745-1415
Entity
Organization

Contact information

Practice address
1909 VISTA DR, LARAMIE, WY 82070-5530
(307) 745-8851
(307) 742-0961
Mailing address
1909 VISTA DR, LARAMIE, WY 82070-5530
(307) 745-8851
(307) 742-0961

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
207X00000X
Orthopaedic Surgery Physician
Primary
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
208600000X
Surgery Physician
208D00000X
General Practice Physician
225100000X
Physical Therapist
225X00000X
Occupational Therapist
261QR0200X
Radiology Clinic/Center
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00832001
BCBS
05
106251400
WY
05
106251402
WY
05
38121263
CO
Enumeration date
01/24/2006
Last updated
01/21/2021
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