Yellowstone Sports Medicine, LLC

NPI #1881042778 in Cody, Wyoming

Provider Information

NPI Number: 1881042778
Entity Type: Organization
Organization Name: Yellowstone Sports Medicine, LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jun 1, 2016
Last Updated: Jun 1, 2016

Practice Location

Address: 720 LINDSAY LN
City: Cody
State: Wyoming
ZIP Code: 82414-4103
Phone: (307) 578-1953

Authorized Official

Name: JIMMIE G BILES, M.D.
Title: OWNER
Phone: (307) 578-1949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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