Wyoming Pace

NPI #1174950919 in Cheyenne, Wyoming

Provider Information

NPI Number
1174950919
Entity Type
Organization
Organization Name
Wyoming Pace
Subpart
Yes (part of a larger organization)
Parent Organization
CHEYENNE REGIONAL MEDICAL CENTER
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Oct 10, 2013
Last Updated
Oct 10, 2013

Practice Location

Address
214 E 23RD ST
State
Wyoming
ZIP Code
82001-3748
Phone
(307) 773-8112

Authorized Official

Name
LAURIE WRIGHT, RN, BSN, MS
Title
CLINICAL DIRECTOR
Phone
(307) 633-7005

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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