Organization
GEM CITY BONE & JOINT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT KAUFMAN (ADMINISTRATOR)
(307) 745-8851
Entity
Organization
Contact information
Practice address
2250 COLLEGE DR, ROCK SPRINGS, WY 82901
(307) 745-8851
Mailing address
1909 VISTA DR, LARAMIE, WY 82070-5530
(307) 745-8851
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
315770
BLUE CROSS BLUE SHIELD OF WYOMING
WY
Enumeration date
07/24/2008
Last updated
07/24/2008
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