NPI 1174950919

Wyoming Pace

Organisation Exclusive Provider Organization Cheyenne, WY

Practice location

Address: 214 E 23rd St, Cheyenne, WY 82001-3748
Phone: (307) 773-8112
Fax: (307) 773-8131

Authorised official

Name: Laurie Wright
Title: Clinical Director
Phone: (307) 633-7005

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Wyoming →

Registry record

NPI: 1174950919
Entity type: Organization
NPI issued: 10 Oct 2013
Record last updated: 10 Oct 2013

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.