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NPI Code Detail

MEDICARE: RAGNVALDR BUCK BJORNSSON MD

MEDICARE:   RAGNVALDR BUCK BJORNSSON  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
1207P00000XEmergency Medicine Physician6690AWY
2207P00000XEmergency Medicine PhysicianM8716ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
158024OTHERIDBLUE CROSS OF ID
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3605960009OTHERWYFBL
4314686OTHERWYBSWY

General Provider Information

NPI Number : 1851379119
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAGNVALDR BUCK BJORNSSON MD
Provider Business Mailing Address
First Line : 505 S 336TH ST
Second Line : SUITE 600
City : FEDERAL WAY
State : WA
Zip : 98003-6328
Country : US
Telephone Number : 253-838-6180
Fax Number : 253-838-6418
Provider Business Practice Location Address
First Line : 1200 COLLEGE DR
Second Line :
City : ROCK SPRINGS
State : WY
Zip : 82901-5868
Country : US
Telephone Number : 307-362-3711
Fax Number : 307-352-8178
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 01/23/2026

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Directions to “ RAGNVALDR BUCK BJORNSSON MD” Practice Location

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