Organization · NPI-2

Frontier Neurohealth

Psychiatry & Neurology, Neurology · Cody, WY

NPI number1659824514
StatusActive
Last updated in NPPESJul 27, 2016

Details

NPI
1659824514
Entity type
Organization (NPI-2)
Legal business name
Frontier Neurohealth
Organization subpart
No
Enumeration date
Jul 27, 2016
Last updated
Jul 27, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology––Yes

Practice location

702 Platinum Dr
Cody, WY 82414-3420

Phone 307-576-2271

Mailing address

702 Platinum Dr
Cody, WY 82414-3420

Phone 307-576-2271

Authorized official

Allen Gee
President
3075862271

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