Organization
DR. PAULUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B PAULUS DO (INTERNIST / OWNER)
(307) 369-2572
Entity
Organization
Contact information
Practice address
1401 AIRPORT PKWY STE 100, CHEYENNE, WY 82001-1522
(307) 369-2572
(307) 670-7660
Mailing address
2533 MOONLIGHT CT, CHEYENNE, WY 82009-8577
(307) 369-2572
(307) 670-7660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10293A
WYOMING STATE MEDICAL LICENSE OF DR. JOHN B PAULUS
WY
01
—
10750446
CAQH NUMBER FOR DR. JOHN B PAULUS
—
01
—
1841200797
NPI FOR DR JOHN B PAULUS
—
Enumeration date
07/31/2023
Last updated
05/15/2025
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