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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 |
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| LBN Legal business name | CHEYENNE MEDICAL SPECIALISTS PC | ||||||||
| Authorized official | ROBERT MONGER - (PARTNER OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 12/05/2005 | ||||||||
| Last updated | 12/28/2007 - About 18 years ago | ||||||||
| Identifiers |
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CHEYENNE MEDICAL SPECIALISTS PC
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CHEYENNE MEDICAL SPECIALISTS PC