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NPI Code Detail

MEDICARE: RONALD E ORBIN D.O.

MEDICARE: RONALD E ORBIN 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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician2463AWY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1305356OTHERWYBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114916087
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD E ORBIN D.O.
Provider Business Mailing Address
First Line : 449 MOUNTAIN VIEW ST
Second Line :
City : POWELL
State : WY
Zip : 82435-2232
Country : US
Telephone Number : 307-754-4559
Fax Number : 307-754-7733
Provider Business Practice Location Address
First Line : 777 AVENUE H
Second Line :
City : POWELL
State : WY
Zip : 82435-2260
Country : US
Telephone Number : 307-754-2267
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 07/08/2007

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