Cheyenne Skin Clinic

NPI #1831150689 in Cheyenne, Wyoming

Provider Information

NPI Number: 1831150689
Entity Type: Organization
Organization Name: Cheyenne Skin Clinic
Primary Specialty: Dermatology
Enumeration Date: Mar 31, 2006
Last Updated: Aug 22, 2020

Practice Location

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

Authorized Official

Name: MRS. SANDRA K SURBRUGG, MD
Title: OWNER
Phone: (307) 635-0226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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