Individual
PAINTER STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 DELL RANGE BLVD, CHEYENNE, WY 82009-5273
(307) 630-4729
Mailing address
PO BOX 20092, CHEYENNE, WY 82003-7002
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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