Individual
DR. SANDRA K SURBRUGG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
123 WESTERN HILLS BLVD, CHEYENNE, WY 82009-3446
(307) 635-0226
(307) 635-1924
Mailing address
123 WESTERN HILLS BLVD, CHEYENNE, WY 82009-3446
(307) 635-0226
(307) 635-1924
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
3492A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83025288113
—
NE
Enumeration date
03/07/2006
Last updated
07/08/2007
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