| NPI | 1083833883 |
|---|---|
| Doing Business As | CHEYENNE EYE SURGERY |
| Entity Type | Organization |
| Authorized Contact | DIRK DIJKSTAL President 307-634-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |