NPI 1881174431 · live from the CMS NPI Registry
Frontier Spine And Orthopedic Surgery, P.C.
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Rock Springs, WY. National Provider Identifier 1881174431, active.
NPI record
| NPI | 1881174431 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Orthopaedic Surgery of the Spine 207XS0117X |
| Practice location | 4401 College Dr, Rock Springs, WY 82901 |
| Practice phone | 307-352-8930 |
| Mailing address | 4117 N. 2600 E, Filer, ID 83328 |
| Enumerated | August 14, 2018 |
| Last updated | August 14, 2018 |
| Authorized official | Justin Dazley, Organizer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | TL4296 (WY) |
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine primary | 207XS0117X | TL4296 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.