Wyoming Orthopedic and Sports Medicine, LLC

NPI #1972701381 in Cheyenne, Wyoming

Provider Information

NPI Number: 1972701381
Entity Type: Organization
Organization Name: Wyoming Orthopedic and Sports Medicine, LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jul 6, 2007
Last Updated: Aug 28, 2007

Practice Location

Address: 5050 POWDERHOUSE RD
City: Cheyenne
State: Wyoming
ZIP Code: 82009-4800
Phone: (307) 633-7943

Authorized Official

Name: BRUCE D SMITH, M.D.
Title: OWNER
Phone: (307) 633-7943

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Sports Medicine — Sports Medicine	207XX0005X
Physician Assistant	363A00000X
Orthopaedic Surgery	207X00000X	Primary

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