| NPI | 1356009294 |
|---|---|
| Other Name | CHEYENNE CHILDREN'S CLINIC (MOB) |
| Entity Type | Organization |
| Authorized Contact | ERIN PETERSEN Payer Enrollment Specialist 307-432-3664 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2025-09-04 |