Organization
SAGE WEST WELLNESS, LLC
Active
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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