Clean Clinic Wyoming
NPI #1548909153 in Cheyenne, Wyoming
Provider Information
- NPI Number
- 1548909153
- Entity Type
- Organization
- Organization Name
- Clean Clinic Wyoming
- Primary Specialty
- Family Medicine - Addiction Medicine
- Enumeration Date
- Jun 1, 2022
- Last Updated
- Feb 17, 2024
Practice Location
Authorized Official
- Name
- MR. LORENCE A HARMER
- Title
- CEO
- Phone
- (801) 946-4045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Addiction Medicine — Addiction Medicine |
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