Healthcare Provider Details

I. General information

NPI: 1518140375
Provider Name (Legal Business Name): HUGH BATTY MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2007
Last Update Date: 02/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1262 W 5TH ST
SHERIDAN WY
82801-2702
US

IV. Provider business mailing address

1262 W 5TH ST
SHERIDAN WY
82801-2702
US

V. Phone/Fax

Practice location:
  • Phone: 307-674-6166
  • Fax: 307-672-8687
Mailing address:
  • Phone: 307-674-6166
  • Fax: 307-672-8687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number2892A
License Number StateWY

VIII. Authorized Official

Name: DR. HUGH BATTY
Title or Position: OWNER
Credential: M,D.,
Phone: 307-674-6166