Graduated: 2020
NPI: 1548814890
Practice Locations (2)
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
4116 LARAMIE ST
CHEYENNE, WY 820011969
3076357961
IVINSON MEMORIAL HOSPITAL
3116 WILLETT DR
LARAMIE, WY 820725048
3077426319
Source: CMS National Downloadable File, September 2026.