| NPI | 1497412670 |
|---|---|
| Other Name | CHEYENNE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BRAD WHITE Administrator Of Revenue 307-633-6198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2026-07-03 |