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Organization
CHEYENNE REGIONAL PHYSICIANS GROUP, LLC
Active
Organization
CHEYENNE REGIONAL PHYSICIANS GROUP, LLC
Active
Other names
Cheyenne Children's Clinic (MOB)
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 405, CHEYENNE, WY 82001-3180
(307) 635-7961
(307) 778-5812
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 635-7961
(307) 778-5812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NULL
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
07/03/2026
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