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Organization
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Active
Organization
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Active
Other names
Cheyenne Regional Cancer Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD WHITE (ADMINISTRATOR OF REVENUE)
(307) 633-6198
Entity
Organization
Contact information
Practice address
310 E 24TH ST, CHEYENNE, WY 82001-3126
(307) 634-9311
(307) 634-5627
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 634-9311
(307) 634-5627
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
07/03/2026
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