Whalio Doctors

NPI 1235792375

Benjamin Tankever Johnson

Practitioner Psychiatry Physician Cheyenne, WY

Practice location

Address
2600 E 18th St, Cheyenne, WY 82001-5511
Phone
(307) 633-7370
Fax
(307) 637-7202
Mailing address
13001 E 17th Pl Bldg 500, Aurora, CO 80045-2570

Registered specialties

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 16324A (WY)

Registry record

NPI
1235792375
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Apr 2019
Record last updated
23 Jan 2024

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.