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Organization
CHEYENNE REGIONAL PHYSICIANS GROUP, LLC
Active
Organization
CHEYENNE REGIONAL PHYSICIANS GROUP, LLC
Active
Other names
Cheyenne Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD WHITE (ADMINISTRATOR OF REVENUE)
(307) 633-6198
Entity
Organization
Contact information
Practice address
1950 BLUEGRASS CIR STE 200, CHEYENNE, WY 82009-7364
(307) 778-2577
(307) 635-2131
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 778-2577
(307) 635-2131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/22/2021
Last updated
07/03/2026
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