Organization
FRONTIER EMERGENCY PHYSICIANS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL E. SURDAM (OWNER)
(307) 633-7670
Entity
Organization
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 426-4676
(307) 426-4678
Mailing address
1807 CAPITOL AVE, SUITE 201, CHEYENNE, WY 82001-4544
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124791300
—
WY
05
—
89933257
—
CO
Enumeration date
03/22/2007
Last updated
01/09/2015
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