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Organization
CHEYENNE REGIONAL PHYSICIANS GROUP, LLC
Active
Organization
CHEYENNE REGIONAL PHYSICIANS GROUP, LLC
Active
Other names
Plastic Reconstructive & Hand Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD WHITE (ADMINISTRATOR OF REVENUE)
(307) 633-6198
Entity
Organization
Contact information
Practice address
2301 HOUSE AVE STE 507, CHEYENNE, WY 82001-3179
(307) 635-2562
(307) 638-2074
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 996-4777
(307) 773-8013
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
—
NULL
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
07/03/2026
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