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Organization

SAGE WEST WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT KNOWLES (CHIEF EXECUTIVE OFFICER)
(970) 316-8300
Entity
Organization

Contact information

Practice address
1621 CENTRAL AVE STE 58388, CHEYENNE, WY 82001-4531
(970) 316-8300
Mailing address
1621 CENTRAL AVE STE 58388, CHEYENNE, WY 82001-4531
(970) 316-8300

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261QC1800X
Corporate Health Clinic/Center
261QH0100X
Health Service Clinic/Center

Other

Enumeration date
12/29/2025
Last updated
12/29/2025
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