Individual
DAULTON K. GRUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 HOUSE AVE STE 405, CHEYENNE, WY 82001-3180
(307) 635-7961
(307) 778-5812
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 996-4777
(307) 773-8013
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18656A
WY
Other
Enumeration date
03/23/2022
Last updated
12/16/2025
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