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NPI Profile for CHEYENNE MEDICAL SPECIALISTS PC in CHEYENNE, WY.
A Radiology doctor of Osteopathy that specializes in Body Imaging.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Body Imaging |
2085B0100X | |||
Clinical Medical Laboratory |
291U00000X | 69 | Clinical Laboratory |
| NPI # | 1356325278 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/05/2005 | |
| Last updated | 12/28/2007 - About 18 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CHEYENNE MEDICAL SPECIALISTS PC
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CHEYENNE MEDICAL SPECIALISTS PC