Organization
CHEYENNE MEDICAL PLAZA SURGERY CENTER, LLC
Active
Other names
Yellowstone Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAKE GEORGE PULLOS M.D. (MEDICAL DIRECTOR)
(307) 635-7070
Entity
Organization
Contact information
Practice address
2301 HOUSE AVE, #200, CHEYENNE, WY 82001-3176
(307) 635-7070
(307) 433-9311
Mailing address
2301 HOUSE AVE, #200, CHEYENNE, WY 82001-3176
(307) 635-7070
(307) 433-9311
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
06-186
WY
Other
Enumeration date
07/02/2005
Last updated
08/22/2020
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