Individual
CHRISTIAN THOMAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
821 E 18TH ST, CHEYENNE, WY 82001-4775
(307) 777-7911
Mailing address
821 E 18TH ST, CHEYENNE, WY 82001-4775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
14272616-1204
UT
207Q00000X
Family Medicine Physician
Primary
227-T2
WY
390200000X
Student in an Organized Health Care Education/Training Program
227-T1
WY
Other
Enumeration date
05/01/2023
Last updated
03/19/2026
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