Dr Brent Cody Makijarvi Fowler, DO | |
4140 Centennial Hills Blvd, Casper, WY 82609-3265 | |
(307) 265-7205 | |
Not Available |
Full Name | Dr Brent Cody Makijarvi Fowler |
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Gender | Male |
Speciality | Family Medicine - Sports Medicine |
Location | 4140 Centennial Hills Blvd, Casper, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528684339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 14933A (Wyoming) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | 14933A (Wyoming) | Primary |
Entity Name | Casper Orthopedic Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962494864 PECOS PAC ID: 9436148624 Enrollment ID: O20040512000032 |
Mailing Address | Practice Location Address |
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Dr Brent Cody Makijarvi Fowler, DO 4140 Centennial Hills Blvd, Casper, WY 82609-3265 Ph: (307) 265-7205 | Dr Brent Cody Makijarvi Fowler, DO 4140 Centennial Hills Blvd, Casper, WY 82609-3265 Ph: (307) 265-7205 |
Zachory Fred Deiss, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161 | |
Philip Gard, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161 | |
Dr. Johnny M Tooke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2241 Farnum Ste 105, Casper, WY 82609 Phone: 307-266-1263 Fax: 307-265-0410 | |
Larissa Faith Gray, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161 | |
Adam Linck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 S. Conwell Street, Casper, WY 82601 Phone: 307-265-8300 Fax: 307-233-8230 | |
Renae Marie Hepfner, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161 | |
Sherrill A Fox, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 E 2nd St, Suite 200, Casper, WY 82609 Phone: 307-577-5100 Fax: 307-234-1201 |