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Cheyenne Cardiovascular Consultants, LLC

NPI #1003060542 in Cheyenne, Wyoming

Provider Information

NPI Number
1003060542
Entity Type
Organization
Organization Name
Cheyenne Cardiovascular Consultants, LLC
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Nov 11, 2008
Last Updated
May 22, 2015

Practice Location

Address
2301 HOUSE AVE
Address 2
SUITE 301
City
Cheyenne
State
Wyoming
ZIP Code
82001-3176
Phone
(307) 637-1600

Authorized Official

Name
MICHELE GAUTREAU
Title
CREDENTIALING SPEC.
Phone
(307) 773-8012

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease

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