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Organization
SMART SPORTS MEDICINE CLINIC PC
Active
Organization
SMART SPORTS MEDICINE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT JOHN ROSS (OWNER)
(307) 632-7677
Entity
Organization
Contact information
Practice address
5307 YELLOWSTONE RD, CHEYENNE, WY 82009-4736
(307) 632-7677
(307) 778-8292
Mailing address
5307 YELLOWSTONE RD, CHEYENNE, WY 82009-4736
(307) 632-7677
(307) 778-8292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
04/15/2026
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