Provider Demographics
NPI:1982825675
Name:FRANKS, CHAD KEITH (MD)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:KEITH
Last Name:FRANKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-6145
Mailing Address - Country:US
Mailing Address - Phone:307-922-4290
Mailing Address - Fax:307-522-5559
Practice Address - Street 1:116 2ND ST
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-6145
Practice Address - Country:US
Practice Address - Phone:307-922-4290
Practice Address - Fax:307-552-5559
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL916989208600000X
WY7770A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery