Organization
CHEYENNE RESPIRATORY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUELL CLYDE DEMERS (OWNER)
13077721149
Entity
Organization
Contact information
Practice address
2017 E 11TH ST, CHEYENNE, WY 82001-5257
(307) 772-1149
(307) 514-2627
Mailing address
2017 E 11TH ST, CHEYENNE, WY 82001-5257
(307) 772-1149
(307) 514-2627
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
WD1975
WY
Other
Enumeration date
11/21/2016
Last updated
03/31/2017
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