Cheyenne Vamc

NPI #1720685753 in Cheyenne, Wyoming

Provider Information

NPI Number: 1720685753
Entity Type: Organization
Organization Name: Cheyenne Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Oct 2, 2020
Last Updated: Oct 2, 2020

Practice Location

Address: 2360 E PERSHING BLVD
City: Cheyenne
State: Wyoming
ZIP Code: 82001-5356
Phone: (913) 578-4409

Authorized Official

Name: ERIN DENISE POTTER
Title: NPI TEAM LEAD
Phone: (202) 382-2579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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