MEDICARE: MATTHEW V FOLEY MD

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
1	207L00000X	Anesthesiology Physician	34225	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00361983	OTHER	WY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	314258	OTHER	WY	BLUE SHEILD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346245180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW V FOLEY MD

Provider Business Mailing Address
First Line	:	2345 E 3RD ST
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82609
Country	:	US
Telephone Number	:	307-689-6109
Fax Number	:

Provider Business Practice Location Address
First Line	:	2345 E 3RD ST
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82609-2037
Country	:	US
Telephone Number	:	307-689-6109
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	02/26/2008

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