NPI 1629089792

Frontier Orthopedic Services, PC

Organisation Prosthetic/Orthotic Supplier Cheyenne, WY

Practice location

Address: 611 E. Carlson Street Suite 115, Cheyenne, WY 82009-4311
Phone: (307) 637-3131
Fax: (307) 637-4405

Authorised official

Name: James Frederick Jackson
Title: Owner/Practitioner
Phone: (307) 637-3131

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence C12686 (WY)

Other Prosthetic/Orthotic Supplier providers in Wyoming →

Registry record

NPI: 1629089792
Entity type: Organization
NPI issued: 11 Aug 2006
Record last updated: 4 Apr 2012

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.