Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wyoming Spine and Neurosurgery Associates, LLC

Organization Neurological Surgery Physician · NPI 1720296130

Wyoming Spine and Neurosurgery Associates, LLC provides Neurological Surgery Physician services in Cheyenne, Wyoming. Licensed in Wyoming. Registered with an NPI since 2007.

Licensed in
WY
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1950 Bluegrass Cir Ste 170
Cheyenne, WY 82009-7323
Phone: (307) 778-2860
Fax: (307) 778-2866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 6491A (WY)

Record details

NPI number1720296130
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carrie Mickelson — Billing Manager · (307) 778-2860
NPI enumeratedMay 18, 2007
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024
Mailing address1950 Bluegrass Cir, Ste 170, Cheyenne, WY 82009-7323

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