Organization
CHIEF STATS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT S JOHNSON (CEO)
(307) 220-2086
Entity
Organization
Contact information
Practice address
2232 DELL RANGE BLVD, CHEYENNE, WY 82009-4941
(307) 220-2086
Mailing address
2232 DELL RANGE BLVD, CHEYENNE, WY 82009-4941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6832A
WY
Other
Enumeration date
05/29/2010
Last updated
06/02/2010
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