IndividualActive
Jean Basta, MD
NPI 1104811504 · Orthopaedic Surgery Physician · Cheyenne, WY
Provider details
- NPI number
- 1104811504
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 6885A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2301 House Ave
Suite 505
Cheyenne, WY 82001-3179
Phone: (307) 632-9261
Fax: (307) 634-9170
Approximate (ZIP-level) locationGet directions
Mailing address
2301 House Ave
Cheyenne, WY 82001-3179
Registry dates
- Enumerated
- 2005-09-13
- Last updated
- 2007-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.