Stanford Israelsen MD Orthopedist in Gillette WY

Stanford Israelsen MD is an orthopedic with a current address of 508 Stocktrail Ave  Gillette Suite A WY 82716-3582. The NPI is 1093961179, and the license number is 9750A (WY). It was issued on augusztus 8, 2008. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an individual, and the NPI number was last updated on 08/13/2014.

Stanford Israelsen MD can be reached by phone at 3076861413, by mail at 508 Stocktrail Ave Suite A Gillette WY 82716-3582, or by fax at .


Name: Stanford Israelsen MD

Specialization: Orthopedic

Provider Entity Type: Individual

Is Sole Proprietor: No

Gender: Male


Practice Location Address:

508 Stocktrail Ave Suite A


WY 82716-3582

Telephone Number: 3076861413

Fax Number:


Mailing Address:

508 Stocktrail Ave Suite A


WY 82716-3582

Telephone Number: 3076861413

Fax Number:


NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.


NPI Number: 1093961179

Enumeration Date: augusztus 8, 2008

Last Update: 08/13/2014


The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.


Primary Taxonomy Code: 207X00000X

License Number: 9750A

License State: WY

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Providers may hold one or more medical licenses in the same state or in different states for different specialties.


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