Doctor Name: | STEVE E RABON |
NPI Number: | 1053331504 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 128 |
Business Practice Address: | 1050 Mydland Rd Sheridan, WY - 828012186 |
Business Phone Number: | 3076731813 |
Business Fax Number: | 3076744619 |
Mailing Address: | 1050 Mydland Rd, SHERIDAN |
State: | WY |
Postal Code: | 828012186 |
Phone Number: | 3076731813 |
Fax Number: | 3076744619 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 128 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |