Organization
ADVANCED FOOT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY FISHER DPM (PRESIDENT)
(307) 514-9901
Entity
Organization
Contact information
Practice address
4112 LARAMIE ST, CHEYENNE, WY 82001-1969
(307) 514-9901
(307) 275-9880
Mailing address
4112 LARAMIE ST, CHEYENNE, WY 82001-1969
(307) 514-9901
(307) 275-9880
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
113
WY
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
113
WY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121842501
—
WY
01
—
310887
BCBS
WY
01
—
480032136
RR MEDICARE
WY
Enumeration date
04/24/2007
Last updated
04/23/2026
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