OrganizationActive
Summit Spine and Neurosurgery Associates
NPI 1114336781 · Neurological Surgery Physician · Cheyenne, WY
Provider details
- NPI number
- 1114336781
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Cheyenne Regional Medical Group, LLC
- Organization subpart
- Yes
- Authorized official
- Michele Gautreau, Credentialing Specialist(307) 773-8012
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2301 House Ave
Suite 505
Cheyenne, WY 82001-3176
Phone: (307) 632-9261
Fax: (307) 634-9170
Approximate (ZIP-level) locationGet directions
Mailing address
2301 House Ave
Cheyenne, WY 82001-3176
Registry dates
- Enumerated
- 2014-08-08
- Last updated
- 2014-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.