Individual
DR. ROBERT MATTHEW MONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 HOUSE AVE, SUITE 201, CHEYENNE, WY 82001-3176
(307) 638-7757
(307) 638-8359
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 638-7577
(307) 637-8300
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
5944A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112418800
—
WY
01
—
430RM98
SUBSTANCE CONTROL
WY
01
—
5944A
STATE LICENSE
WY
Enumeration date
11/23/2005
Last updated
10/31/2022
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