NPI 1174765093

Sky Wolf

Practitioner Military Health Care Provider Cheyenne, WY

Practice location

Address: 6900 Alden Dr Bldg 160, Cheyenne, WY 82005-2945
Phone: (307) 773-2779

Registered specialties (4)

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

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Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 12285A (WY)

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Public Health & General Preventive Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence 20A11115 (CA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1174765093
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2009
Record last updated: 27 Oct 2023

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.