Organization
CHEYENNE CARDIOVASCULAR CONSULTANTS, LLC
Active
Other names
CHEYENNE CARDIOLOGY ASSOCIATES, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GAUTREAU (CREDENTIALING SPEC.)
(307) 773-8012
Entity
Organization
Contact information
Practice address
2301 HOUSE AVE, SUITE 301, CHEYENNE, WY 82001-3176
(307) 637-1600
(307) 637-1699
Mailing address
2301 HOUSE AVE, SUITE 301, CHEYENNE, WY 82001-3176
(307) 637-1600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
11/11/2008
Last updated
05/22/2015
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