specializing in general practice in Cheyenne, Wyoming
NPI: 1073819207
Provider Type
2
Practice Locations
Mailing Location
1807 CAPITOL AVE
SUITE 201
CHEYENNE, WY 82001
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:2/5/2011
Last Updated:2/5/2011
Credentials
Primary Credential: