Organization
CHEYENNE CHILDREN'S CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN THEOBALD (CLINIC ADMINISTRATOR)
(307) 635-7961
Entity
Organization
Contact information
Practice address
2301 HOUSE AVE, SUITE 405, CHEYENNE, WY 82001-3176
(307) 635-7961
(307) 778-5812
Mailing address
2301 HOUSE AVE, SUITE 405, CHEYENNE, WY 82001-3176
(307) 635-7961
(307) 778-5812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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