Graduated: 2012
NPI: 1700134327
Practice Locations (3)
CHEYENNE, WY 82009
3076400273
1401 AIRPORT PKWY, SUITE 100
CHEYENNE, WY 820011522
3073692571
2232 DELL RANGE BLVD, SUITE 304
CHEYENNE, WY 820094902
3074005201
Source: CMS National Downloadable File, September 2026.