Organization
YELLOWSTONE RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY H CROSS MD (DELEGATED OFFICIAL)
(307) 578-2582
Entity
Organization
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414-3409
(208) 667-9334
(208) 664-2341
Mailing address
PO BOX 1829, COEUR D ALENE, ID 83816-1829
(800) 667-9334
(208) 664-2341
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120635400
—
WY
01
—
DC9336
RR MEDICARE
WY
Enumeration date
08/31/2005
Last updated
11/19/2020
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