Individual
SMITHA NEERUKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 HOUSE AVE STE 301, CHEYENNE, WY 82001-3178
(307) 637-1600
(307) 637-1699
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 634-2273
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18294A
WY
Other
Enumeration date
04/03/2016
Last updated
09/09/2025
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