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NPI Code Detail

MEDICARE: MELINDA J. POYER D.O.

MEDICARE: MELINDA J. POYER D.O.
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
1207Q00000XFamily Medicine Physician7530AWY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5P00014587OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28356392006OTHERFLCIGNA
3239383OTHERFLAVMED
457569OTHERFLBCBS
626544OTHERFLSTAYWELL/WELLCARE/HEALTHE
77985065OTHERFLAETNA

General Provider Information

NPI Number : 1033175831
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA J. POYER D.O.
Provider Business Mailing Address
First Line : 1180 COLLEGE DR
Second Line : SUITE 3-2
City : ROCK SPRINGS
State : WY
Zip : 82901-5863
Country : US
Telephone Number : 307-362-0083
Fax Number : 307-362-0084
Provider Business Practice Location Address
First Line : 1180 COLLEGE DR
Second Line : SUITE 3-2
City : ROCK SPRINGS
State : WY
Zip : 82901-5863
Country : US
Telephone Number : 307-362-0083
Fax Number : 307-362-0084
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2006
Last Update Date : 11/18/2015

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