Organization
CHEYENNE REGIONAL PHYSICIANS GROUP, LLC
Active
Other names
Cheyenne Children's Clinic (MOB)
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD WHITE (ADMINISTRATOR OF REVENUE)
(307) 633-6198
Entity
Organization
Contact information
Practice address
2301 HOUSE AVE STE 405, CHEYENNE, WY 82001-3180
(307) 635-7961
(307) 778-5812
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 635-7961
(307) 778-5812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
07/03/2026
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