NPI 1073537601

Cheyenne Children's Clinic, PC

Organisation Pediatrics Physician Cheyenne, WY

Practice location

Address: 2301 House Ave Suite 405, Cheyenne, WY 82001-3176
Phone: (307) 635-7961
Fax: (307) 778-5812

Authorised official

Name: Robin Theobald
Title: Clinic Administrator
Phone: (307) 635-7961

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Wyoming →

Registry record

NPI: 1073537601
Entity type: Organization
NPI issued: 27 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.