Bryce Cameron Lord, DO | |
1025 9th St, Cody, WY 82414-3441 | |
(307) 578-2800 | |
Not Available |
Full Name | Bryce Cameron Lord |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 1025 9th St, Cody, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396776464 | NPI | - | NPPES |
2022563 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 12419A (Wyoming) | Primary |
Entity Name | West Park Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558351536 PECOS PAC ID: 7315855624 Enrollment ID: O20040127000865 |
Mailing Address | Practice Location Address |
---|---|
Bryce Cameron Lord, DO 1025 9th St, Cody, WY 82414-3441 Ph: () - | Bryce Cameron Lord, DO 1025 9th St, Cody, WY 82414-3441 Ph: (307) 578-2800 |
Gregory H Cross Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-578-2582 Fax: 307-578-2389 | |
Dr. Travis S Graham, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-578-2372 | |
Linda Byrd, RT Radiology Medicare: Not Enrolled in Medicare Practice Location: 1021 9th St, Cody, WY 82414 Phone: 208-667-9334 Fax: 208-664-2341 |