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NPI Code Detail

MEDICARE: DR. JOHN WENDEL AARON III D.P.M.

MEDICARE:  DR. JOHN WENDEL AARON III D.P.M.
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
1213E00000XPodiatrist72WY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1302477OTHERWYBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1972503985
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN WENDEL AARON III D.P.M.
Provider Business Mailing Address
First Line : 1471 DEWAR DR
Second Line : SUITE 112
City : ROCK SPRINGS
State : WY
Zip : 82901-5851
Country : US
Telephone Number : 307-382-3257
Fax Number : 307-382-2296
Provider Business Practice Location Address
First Line : 1471 DEWAR DR
Second Line : SUITE 112
City : ROCK SPRINGS
State : WY
Zip : 82901-5851
Country : US
Telephone Number : 307-382-3257
Fax Number : 307-382-2296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2005
Last Update Date : 07/08/2007

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