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NPI 1366101263 · live from the CMS NPI Registry

Cheyenne Regional Physicians Group, LLC

Podiatrist in Cheyenne, WY. National Provider Identifier 1366101263, active.

NPI record

NPI1366101263 Type 2 · organization
StatusActive
Primary specialtyPodiatrist 213E00000X
Practice location2301 House Ave Ste 301, Cheyenne, WY 82001
Practice phone307-637-1600
Mailing addressPo Box 20970, Cheyenne, WY 82003
EnumeratedDecember 8, 2021
Last updatedJuly 3, 2026
Authorized officialBrad White, Administrator Of Revenue
Other namesCrmg Podiatry

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist primary213E00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.