Organization
CHEYENNE REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN BOURLIER-CHILDRESS PA (MID-LEVEL PROVIDER)
(307) 633-7670
Entity
Organization
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 633-7670
Mailing address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 633-7670
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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