NPI 1114336781

Summit Spine and Neurosurgery Associates

Organisation Neurological Surgery Physician Cheyenne, WY

Practice location

Address: 2301 House Ave Suite 505, Cheyenne, WY 82001-3176
Phone: (307) 632-9261
Fax: (307) 634-9170

Authorised official

Name: Michele Gautreau
Title: Credentialing Specialist
Phone: (307) 773-8012

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X

Other Neurological Surgery providers in Wyoming →

Registry record

NPI: 1114336781
Entity type: Organization
NPI issued: 8 Aug 2014
Record last updated: 8 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.