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Individual

TYLER JAMES MAXEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 634-2273
Mailing address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 634-2273

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018020770
MO
207R00000X
Internal Medicine Physician
Primary
TL6697
WY

Other

Enumeration date
06/24/2018
Last updated
11/04/2022
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