Individual
MR. BERNIE LEE STRADLEY VI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2303 LANDER LN, CHEYENNE, WY 82009-9401
(307) 635-2826
Mailing address
2303 LANDER LN, CHEYENNE, WY 82009-9401
(307) 635-2826
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
251C00000X
—
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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