Organization
NORTH CHEYENNE MEDICAL
Active
Other names
North Cheyenne Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ZIAD SKAF (CFO)
(307) 277-9424
Entity
Organization
Contact information
Practice address
6015 SYCAMORE RD, 1ST FLOOR, CHEYENNE, WY 82009-4347
(307) 514-1300
Mailing address
428 S DURBIN ST STE 104, CASPER, WY 82601-2818
(307) 337-4284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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