Organization Name: | FRONTIER FAMILY PRACTICE LLC |
NPI Number: | 1316383888 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA K FRANK (OWNER/PROVIDER) |
Mailing Address: | 1123 Big Horn Ave Worland |
State: | WY US |
Postal Code: | 824012802 |
Phone Number: | 7156100200 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2013 |
NPI Last Update Date: | 05/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |