Summit Spine and Neurosurgery Associates

NPI #1114336781 in Cheyenne, Wyoming

Provider Information

NPI Number
1114336781
Entity Type
Organization
Organization Name
Summit Spine and Neurosurgery Associates
Subpart
Yes (part of a larger organization)
Parent Organization
CHEYENNE REGIONAL MEDICAL GROUP, LLC
Primary Specialty
Neurological Surgery
Enumeration Date
Aug 8, 2014
Last Updated
Aug 8, 2014

Practice Location

Address
2301 HOUSE AVE
Address 2
SUITE 505
State
Wyoming
ZIP Code
82001-3176
Phone
(307) 632-9261

Authorized Official

Name
MICHELE GAUTREAU
Title
CREDENTIALING SPECIALIST
Phone
(307) 773-8012

Specialties & Taxonomy Codes

Specialty
Neurological Surgery

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