Organization
BLACK HILLS ORTHOPEDIC & SPINE CENTER OF WYOMING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MARRIS (ADMIN ASST)
(605) 341-1414
Entity
Organization
Contact information
Practice address
2201 S DOUGLAS HWY STE 120, GILLETTE, WY 82718-5408
(800) 446-9559
Mailing address
PO BOX 6850, RAPID CITY, SD 57709-6850
(605) 341-1414
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/17/2023
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