Daniel Jacob Liechti, MD | |
2201 S Douglas Hwy Ste 120, Gillette, WY 82718-5408 | |
(800) 446-9556 | |
Not Available |
Full Name | Daniel Jacob Liechti |
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Gender | Male |
Speciality | Orthopaedic Surgery - Sports Medicine |
Location | 2201 S Douglas Hwy Ste 120, Gillette, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1568817716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207XX0005X | Orthopaedic Surgery - Sports Medicine | 14803A (Wyoming) | Primary |
Entity Name | Black Hills Orthopedic & Spine Center Of Wyoming Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538644679 PECOS PAC ID: 4789929357 Enrollment ID: O20181231001466 |
Mailing Address | Practice Location Address |
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Daniel Jacob Liechti, MD Po Box 6850, Rapid City, SD 57709-6850 Ph: (605) 341-1414 | Daniel Jacob Liechti, MD 2201 S Douglas Hwy Ste 120, Gillette, WY 82718-5408 Ph: (800) 446-9556 |
Stanford T Israelsen, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 508 Stocktrail Ave, Suite A, Gillette, WY 82716 Phone: 307-686-1413 | |
Dr. Sandra Susanne Gebhart, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2901 Powder Basin Ave, Gillette, WY 82718 Phone: 307-682-6222 Fax: 307-682-6999 | |
Robert Grunfeld, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2201 S Douglas Hwy Ste 120, Gillette, WY 82718 Phone: 800-446-9556 | |
Dr. Gerald L Baker, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 508 Stocktrail Ave, Ste A, Gillette, WY 82716 Phone: 307-686-1413 Fax: 307-682-1113 | |
Dr. Joseph Forrest Allegretto, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2901 Powder Basin Ave, Gillette, WY 82718 Phone: 307-682-6222 Fax: 307-682-6999 | |
Dr. John P Dunn, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 508 Stocktrail Ave, Suite A, Gillette, WY 82716 Phone: 307-686-1413 Fax: 307-682-1113 |