Frontier Medical Providers

NPI #1437416443 in Cheyenne, Wyoming

Provider Information

NPI Number
1437416443
Entity Type
Organization
Organization Name
Frontier Medical Providers
Primary Specialty
Clinic/Center - Urgent Care
Enumeration Date
Apr 15, 2012
Last Updated
Jun 25, 2012

Practice Location

Address
433 E 19TH ST
State
Wyoming
ZIP Code
82001-4643
Phone
(307) 773-8133

Authorized Official

Name
DANIEL SURDAM, MD
Title
CHIEF MEDICAL OFFICER
Phone
(307) 773-8133

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care

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