Basic Information
Provider Information
NPI: 1447296207
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BILLIN
FirstName: AARON
MiddleName: ROBERT
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 777 AVENUE H
Address2:  
City: POWELL
State: WY
PostalCode: 82435
CountryCode: US
TelephoneNumber: 3077547257
FaxNumber: 3077541191
Practice Location
Address1: 777 AVENUE H
Address2:  
City: POWELL
State: WY
PostalCode: 82435
CountryCode: US
TelephoneNumber: 3077547257
FaxNumber: 3077541191
Other Information
ProviderEnumerationDate: 06/21/2006
LastUpdateDate: 08/04/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X7737AWYY Allopathic & Osteopathic PhysiciansEmergency Medicine 
207PE0004X7737AWYN Allopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
207Q00000X7737AWYN Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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