Powder River Physical Medicine & Rehabilitation, LLC

NPI #1619413044 in Gillette, Wyoming

Provider Information

NPI Number
1619413044
Entity Type
Organization
Organization Name
Powder River Physical Medicine & Rehabilitation, LLC
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
Jan 9, 2017
Last Updated
Jan 9, 2017

Practice Location

Address
3100 W LAKEWAY RD
Address 2
SUITE 3
State
Wyoming
ZIP Code
82718-6372
Phone
(307) 206-4990

Authorized Official

Name
LINDA LEE WALBY, MD
Title
MANAGER
Phone
(307) 206-4990

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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