NPI 1033145164 · live from the CMS NPI Registry
Douglas W Edgren, MD
Family Medicine in Cheyenne, WY. National Provider Identifier 1033145164, active.
NPI record
| NPI | 1033145164 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1331 Prairie Ave Ste 1, Cheyenne, WY 82009 |
| Practice phone | 307-632-0728 |
| Enumerated | June 23, 2006 |
| Last updated | June 8, 2021 |
| Sole proprietor | Yes |
| Other names | William Edgren |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 036091285 (IL) |
| Family Medicine primary | 207Q00000X | 5108A (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.