Cheyenne Medical Plaza Surgery Center, LLC

NPI #1902803158 in Cheyenne, Wyoming

Provider Information

NPI Number
1902803158
Entity Type
Organization
Organization Name
Cheyenne Medical Plaza Surgery Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jul 2, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
2301 HOUSE AVE
Address 2
#200
State
Wyoming
ZIP Code
82001-3176
Phone
(307) 635-7070

Authorized Official

Name
DR. TAKE GEORGE PULLOS, M.D.
Title
MEDICAL DIRECTOR
Phone
(307) 635-7070

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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