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Organization
CHEYENNE REGIONAL PHYSICIANS GROUP, LLC
Active
Organization
CHEYENNE REGIONAL PHYSICIANS GROUP, LLC
Active
Other names
Family First
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD WHITE (PROVIDER ENROLLMENT SPECIALIST)
(307) 633-6198
Entity
Organization
Contact information
Practice address
5416 EDUCATION DR, CHEYENNE, WY 82009-4094
(307) 778-3675
(307) 632-3302
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 778-3675
(307) 632-3302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/10/2021
Last updated
07/03/2026
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