Individual
DEREK NEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2030 BLUEGRASS CIR, CHEYENNE, WY 82009-7328
(307) 635-3500
(307) 635-4642
Mailing address
2030 BLUEGRASS CIR, CHEYENNE, WY 82009-7328
(307) 635-3500
(307) 635-4642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8795A
WY
Other
Enumeration date
03/28/2009
Last updated
01/30/2014
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