Organization
SUMMIT SPINE & NEUROSURGERY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DARCY LEE CARTER CPC CCSP (BILLING)
(307) 631-4212
Entity
Organization
Contact information
Practice address
2301 HOUSE AVE, SUITE 505, CHEYENNE, WY 82001-3176
(307) 632-9261
(888) 869-7201
Mailing address
2301 HOUSE AVE, SUITE 505, CHEYENNE, WY 82001-3176
(307) 632-9261
(888) 869-7201
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
6709A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119195100
—
WY
01
—
P00135442
RAILROAD MEDICARE
WY
Enumeration date
01/10/2011
Last updated
01/10/2011
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