| NPI | 1245365154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAEL J BEACHLER Podiatrist 307-754-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WY 139) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2014-09-16 |