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NPI Code Detail

MEDICARE: JONATHAN P BINDER MD

MEDICARE: JONATHAN P BINDER 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
1207Q00000XFamily Medicine Physician3918AWY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00095827OTHERWYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2312667OTHERWYBLUE SHIELD
382601D034OTHERWYWPS TRIWEST

General Provider Information

NPI Number : 1841214954
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN P BINDER MD
Provider Business Mailing Address
First Line : 6500 E 2ND ST
Second Line : STE 200
City : CASPER
State : WY
Zip : 82609-4338
Country : US
Telephone Number : 307-577-5100
Fax Number : 307-234-1201
Provider Business Practice Location Address
First Line : 6500 E 2ND ST
Second Line : STE 200
City : CASPER
State : WY
Zip : 82609-4338
Country : US
Telephone Number : 307-577-5100
Fax Number : 307-234-1201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 08/11/2020

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Directions to “ JONATHAN P BINDER MD” Practice Location

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