NPI 1033145164

Douglas W Edgren, MD

Practitioner Family Medicine Physician Cheyenne, WY

Practice location

Address: 1331 Prairie Ave STE 1, Cheyenne, WY 82009-4867
Phone: (307) 632-0728

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 5108A (WY)

Other Family Medicine providers in Wyoming →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 036091285 (IL)

Registry record

NPI: 1033145164
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jun 2006
Record last updated: 8 Jun 2021

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.