BRODIE RICE

GILLETTE, WY
NPI1417591843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: WY  CPO04185)
Additional Taxonomies222Z00000X 
(Licence: WY  CPO04185)
Enumeration Date2019-10-29
Last Update Date2024-03-19
Business Address
BRODIE RICE
2007 S DOUGLAS HWY STE 130
GILLETTE, WY 82718-5400
Phone number: 307-696-8016
Mailing Address
BRODIE RICE
2007 S DOUGLAS HWY STE 130
GILLETTE, WY 82718-5400
Phone number: 307-696-8016