| NPI | 1659458008 |
|---|---|
| Doing Business As | CHEYENNE REGIONAL MEDICAL GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | BRAD WHITE Provider Enrollment Specialist 307-633-6198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207X00000X Orthopaedic Surgery | |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| 2086S0129X | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2026-07-03 |