Provider First Line Business Practice Location Address:
214 E 23RD ST
Provider Second Line Business Practice Location Address:
CHEYENNE REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
CHEYENNE
Provider Business Practice Location Address State Name:
WY
Provider Business Practice Location Address Postal Code:
82001-3748
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
307-633-6055
Provider Business Practice Location Address Fax Number:
307-633-7998
Provider Enumeration Date:
01/24/2006