Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wyoming Spine and Neurosurgery Associates, LLC

Organization Neurological Surgery Physician · NPI 1720296130

Wyoming Spine and Neurosurgery Associates, LLC is a Neurological Surgery Physician 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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