Frontier Family Medicine, LLC

NPI #1962748939 in Gillette, Wyoming

Provider Information

NPI Number: 1962748939
Entity Type: Organization
Organization Name: Frontier Family Medicine, LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 19, 2012
Last Updated: Dec 18, 2014

Practice Location

Address: 709 W 8TH ST
Address 2: SUITE 4
City: Gillette
State: Wyoming
ZIP Code: 82716-4125
Phone: (307) 682-3333

Authorized Official

Name: DR. KELLY LYNN MCMILLIN, M.D.
Title: PHYSICIAN PARTNER
Phone: (307) 682-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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