| NPI | 1710646344 |
|---|---|
| Other Name | CHEYENNE MEDICAL SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARGARET E. ALLEN Director Of Billing Services 307-773-8237 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |