Healthcare Provider Details

I. General information

NPI: 1568367589
Provider Name (Legal Business Name): GEM CITY BONE & JOINT CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5810 E 2ND ST STE 100
CASPER WY
82609-4330
US

IV. Provider business mailing address

PO BOX 30116
BILLINGS MT
59107-0116
US

V. Phone/Fax

Practice location:
  • Phone: 307-237-0304
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: GEOFFREY DOUGLAS MCLEOD
Title or Position: CEO
Credential:
Phone: 307-745-8851