Individual
MRS. CHERYL LYNN FALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
115 WYOMING ST, LANDER, WY 82520-3919
(307) 332-2185
(307) 332-7799
Mailing address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
(307) 233-6089
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6905A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118441500
—
WY
05
—
504824210005
—
UT
Enumeration date
09/26/2006
Last updated
05/23/2023
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