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Organization
CHEYENNE REGIONAL PHYSICIANS GROUP, LLC
Active
Organization
CHEYENNE REGIONAL PHYSICIANS GROUP, LLC
Active
Other names
CRMG Endocrinology & Diabetes Education
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD WHITE (PROVIDER ENROLLMENT SPECIALIST)
(307) 633-6198
Entity
Organization
Contact information
Practice address
800 E 20TH ST STE 230, CHEYENNE, WY 82001-3869
(307) 996-4770
(307) 638-8851
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 996-4770
(307) 638-8851
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
07/03/2026
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