| Organization Name: | BIG HORN FOOT CLINIC, PC |
| NPI Number: | 1003050253 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DUNCAN HUGH FRASER (PODIATRIST/OWNER) |
| Mailing Address: | 424 Yellowstone Ave Suite 140 Cody |
| State: | WY US |
| Postal Code: | 824149318 |
| Phone Number: | 3075279191 |
| Fax Number: | |
| NPI Enumeration Date: | 04/30/2009 |
| NPI Last Update Date: | 04/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 104 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |