Organization
MEDIHORIZONS INC
Active
Other names
CHEYENNE FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD A KOUGL MD (PRESIDENT)
(307) 635-5393
Entity
Organization
Contact information
Practice address
1950 BLUEGRASS CIR, SUITE 200, CHEYENNE, WY 82009-7323
(307) 635-5393
(307) 635-2199
Mailing address
PO BOX 20170, CHEYENNE, WY 82003-7004
(307) 635-5393
(307) 635-2199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112579600
—
WY
01
—
CN3773
RAILROAD MEDICARE
WY
Enumeration date
07/21/2006
Last updated
08/22/2020
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