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Individual

SAMUEL TAYLOR HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
800 E 20TH ST STE 300, CHEYENNE, WY 82001-3882
(307) 633-7444
Mailing address
214 E 23RD ST, CHEYENNE, WY 82001-3748

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15703A
WY
208D00000X
General Practice Physician
DO3229
NV

Other

Enumeration date
04/21/2020
Last updated
02/02/2024
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