NPI 1104811504

Jean Denise Basta, MD

Practitioner Orthopaedic Surgery Physician Cheyenne, WY

Practice location

Address: 2301 House Ave Suite 505, Cheyenne, WY 82001-3179
Phone: (307) 632-9261
Fax: (307) 634-9170

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 6885A (WY)

Other Orthopaedic Surgery providers in Wyoming →

Registry record

NPI: 1104811504
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2005
Record last updated: 29 Oct 2007

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.