Organization
CHEYENNE REGIONAL PHYSICIANS GROUP, LLC
Active
Organization
CHEYENNE REGIONAL PHYSICIANS GROUP, LLC
Active
Other names
CRMG Heart and Vascular and Institute
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD WHITE (ADMINISTRATOR OF REVENUE)
(307) 633-6198
Entity
Organization
Contact information
Practice address
2301 HOUSE AVE STE 301, CHEYENNE, WY 82001-3178
(307) 637-1600
(307) 637-1699
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 637-1600
(307) 637-1699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/10/2021
Last updated
07/03/2026
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