Organization
WIND RIVER PODIATRIC MEDICINE AND SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON D DONALDSON DPM (SOLE OWNER)
(307) 857-3488
Entity
Organization
Contact information
Practice address
1005 COLLEGE VIEW DR, SUITE 4, RIVERTON, WY 82501-2266
(307) 857-3488
(307) 857-5215
Mailing address
1005 COLLEGE VIEW DR, SUITE 4, RIVERTON, WY 82501-2266
(307) 857-3488
(307) 857-5215
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
130
WY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518118017
—
WY
01
—
D05546
RAILROAD MEDICARE
WY
Enumeration date
10/02/2008
Last updated
09/22/2009
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