# FRONTIER MEDICAL PROVIDERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437416443
- **Authorized official:** DANIEL SURDAM MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (307) 773-8133

## Contact information

- **Practice address:** 433 E 19TH ST, CHEYENNE, WY 82001-4643
- **Practice address phone:** (307) 773-8133
- **Mailing address:** PO BOX 426, CHEYENNE, WY 82003-0426
- **Mailing address phone:** (307) 426-4676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 7206A | WY | Yes |

## Other

- **Enumeration date:** 04/15/2012
- **Last updated:** 06/25/2012