NPI 1013952670
Custom Orthopedics of Wyo. LLC
Practice location
- Address
- 240 W 9th St, Casper, WY 82601-3708
- Phone
- (307) 237-3688
- Fax
- (307) 237-3696
Authorised official
- Name
- Nancy O Jackson
- Title
- Office Manager
- Phone
- (307) 237-3688
Registered specialties
Prosthetics Case Management
Primary
Registry record
- NPI
- 1013952670
- Entity type
- Organization
- NPI issued
- 18 Jun 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.