Organization
BIG HORN BASIN RADIOLOGY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS GRAHAM MD (MD/OWNER)
(307) 250-5836
Entity
Organization
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501
Mailing address
3206 4TH ST, LONGVIEW, TX 75605-5143
(903) 663-4800
(903) 663-9960
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
10/31/2023
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