Cheyenne Skin Clinic LLP

NPI #1740427509 in Cheyenne, Wyoming

Provider Information

NPI Number: 1740427509
Entity Type: Organization
Organization Name: Cheyenne Skin Clinic LLP
Primary Specialty: Specialist
Enumeration Date: Jan 15, 2009
Last Updated: Jan 15, 2009

Practice Location

Address: 123 WESTERN HILLS BLVD
City: Cheyenne
State: Wyoming
ZIP Code: 82009-3446
Phone: (307) 635-0226

Authorized Official

Name: SANDRA K SURBRUGG, MD
Title: MANAGING PARTNER
Phone: (307) 635-0226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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