Individual
LINDA BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
1021 9TH ST, CODY, WY 82414-3433
(208) 667-9334
(208) 664-2341
Mailing address
PO BOX 1358, CODY, WY 82414-1358
(208) 667-9334
(208) 664-2341
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
GN 0769-11
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GN 0769-11
LICENSE
WY
01
—
P00296788
RR MEDICARE
—
Enumeration date
03/10/2006
Last updated
03/28/2008
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