# SANDRA A GUIDRY MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801153408
- **Authorized official:** DR. SANDRA GUIDRY MD (MD)
- **Authorized official phone:** (307) 638-0300

## Contact information

- **Practice address:** 214 E 23RD ST, CHEYENNE, WY 82001-3748
- **Practice address phone:** (307) 634-2273
- **Mailing address:** PO BOX 2417, CHEYENNE, WY 82003-2417
- **Mailing address phone:** (307) 638-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 6074A | WY | Yes |

## Other

- **Enumeration date:** 04/19/2012
- **Last updated:** 04/19/2012
