Organization
CHEYENNE SKIN CLINIC LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA K SURBRUGG MD (MANAGING PARTNER)
(307) 635-0226
Entity
Organization
Contact information
Practice address
123 WESTERN HILLS BLVD, CHEYENNE, WY 82009-3446
(307) 635-0226
Mailing address
123 WESTERN HILLS BLVD, CHEYENNE, WY 82009-3446
(307) 635-0226
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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