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Organization

S. SPINDLE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SODIENYE TETENTA M.D. (AUTHORIZED OFFICIAL)
(307) 638-4733
Entity
Organization

Contact information

Practice address
4620 GRANDVIEW AVE STE 201, CHEYENNE, WY 82009-4964
(307) 638-4733
(307) 837-9108
Mailing address
PO BOX 2417, CHEYENNE, WY 82003-2417
(307) 638-0300
(307) 638-0394

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
291U00000X
Clinical Medical Laboratory

Other

Enumeration date
10/16/2015
Last updated
05/06/2024
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