| Cheyenne Family Medicine | |
|
1950 Bluegrass Cir Ste 200 Cheyenne WY 82009-7364 | |
| (307) 778-2577 | |
| (307) 635-2131 |
| Full Name | Cheyenne Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1950 Bluegrass Cir Ste 200, Cheyenne, Wyoming |
| Authorized Official Name and Position | Brad White (ADMINISTRATOR OF REVENUE) |
| Authorized Official Contact | 3076336198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheyenne Family Medicine Po Box 20970 Cheyenne WY 82003-7020 Ph: (307) 778-2577 | Cheyenne Family Medicine 1950 Bluegrass Cir Ste 200 Cheyenne WY 82009-7364 Ph: (307) 778-2577 |
| NPI Number | 1194642736 |
|---|---|
| Provider Enumeration Date | 07/03/2026 |
| Last Update Date | 07/03/2026 |
| Certification Date | 07/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194642736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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