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NPI Code Detail

MEDICARE: SHERIDAN ORTHOPAEDIC ASSOCIATES, P C

MEDICARE: SHERIDAN ORTHOPAEDIC ASSOCIATES, P C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740200294
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHERIDAN ORTHOPAEDIC ASSOCIATES, P C
Provider Business Mailing Address
First Line : 1050 MYDLAND RD
Second Line :
City : SHERIDAN
State : WY
Zip : 82801-2186
Country : US
Telephone Number : 307-673-1813
Fax Number : 307-674-4619
Provider Business Practice Location Address
First Line : 1050 MYDLAND RD
Second Line :
City : SHERIDAN
State : WY
Zip : 82801-2186
Country : US
Telephone Number : 307-673-1813
Fax Number : 307-674-4619
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : MR. GREG A LAGORIO
Credential :
Telephone Number : 307-673-1813
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/11/2022

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Directions to “SHERIDAN ORTHOPAEDIC ASSOCIATES, P C ” Practice Location

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