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Specialty details in registry · Cheyenne, WY

Call (419) 618-0366 Directions

At a glance

701 W Dale Blvd, Cheyenne, WY 82009-5930

NPPES record updated Feb 26, 2019. Public records can lag behind changes at a practice.

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Are you accepting new patients?
Do you accept my specific insurance plan?
Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

701 W Dale Blvd
Cheyenne, WY 82009-5930

Professional details: NPI, taxonomy & registry record

NPI1437616471

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 251B00000X
Enumeration date: Feb 26, 2019
Record updated: Feb 26, 2019

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251B00000X · Primary

Specialty details in registry

385HR2060X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

701 W Dale Blvd
Cheyenne, WY 82009-5930

Phone: (419) 618-0366

Mailing address

701 W DALE BLVD

CHEYENNE, WY 820095930

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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