NPI 1356009294

Cheyenne Regional Physicians Group, LLC

Organisation Pediatrics Physician Cheyenne, WY

Practice location

Address: 2301 House Ave STE 405, Cheyenne, WY 82001-3180
Phone: (307) 635-7961
Fax: (307) 778-5812
Mailing address: PO Box 20970, Cheyenne, WY 82003-7020

Authorised official

Name: Brad White
Title: Administrator of Revenue
Phone: (307) 633-6198

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Wyoming →

Registry record

NPI: 1356009294
Entity type: Organization
NPI issued: 7 Dec 2021
Record last updated: 3 Jul 2026

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.