| NPI | 1154342921 |
|---|---|
| Doing Business As | CHEYENNE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DONALD A KOUGL President 307-635-5393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |