specializing in general practice in Cheyenne, Wyoming

NPI: 1003836834

Provider Type

2

Practice Locations

Mailing Location

PO BOX 20170

CHEYENNE, WY 82003

📞 3076355393

📠 3076352199

Practice Location

2030 BLUEGRASS CIR

CHEYENNE, WY 82009

📞 3076353500

📠 3076352199

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:7/21/2006
Last Updated:5/20/2014

Credentials

Primary Credential: