Frontier Orthopedic Services, PC

NPI #1629089792 in Cheyenne, Wyoming

Provider Information

NPI Number
1629089792
Entity Type
Organization
Organization Name
Frontier Orthopedic Services, PC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Aug 11, 2006
Last Updated
Apr 4, 2012

Practice Location

Address
611 E. CARLSON STREET
Address 2
SUITE 115
State
Wyoming
ZIP Code
82009-4311
Phone
(307) 637-3131

Authorized Official

Name
MR. JAMES FREDERICK JACKSON, BOCP
Title
OWNER/PRACTITIONER
Phone
(307) 637-3131

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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