Individual
DR. SKY WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 ALDEN DR BLDG 160, CHEYENNE, WY 82005-2945
(307) 773-2779
Mailing address
6900 ALDEN DR BLDG 160, CHEYENNE, WY 82005-2945
(307) 773-2779
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
207Q00000X
Family Medicine Physician
12285A
WY
2083P0901X
Public Health & General Preventive Medicine Physician
20A11115
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2009
Last updated
10/27/2023
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