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BRUCE D SMITH MD

Physicians - Orthopaedic Surgery Sports Medicine

Cheyenne, Wyoming

Provider NPI: 1518047588

Provider Information:
 BRUCE D SMITH MD


Practice Location:
4017 RAWLINS ST  CHEYENNE, WY 82001 US
Tel: 307-635-2562  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207XX0005XPhysicians
Orthopaedic Surgery
Sports Medicine
IA27005
N207XX0005XPhysicians
Orthopaedic Surgery
SD1724
N207XX0005XPhysicians
Orthopaedic Surgery
NE20195
Y207XX0005XPhysicians
Orthopaedic Surgery
WY6931A

Other Provider Identifiers:

IssuerNumberStateType
RAIL ROAD MEDICAREP00048676WY01
1185322 00WY05
BLUE CROSS BLUE SHIELD312201WY01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



ORTHOPAEDIC SURGERY JOBS WY - Page 1



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