Sodienye Tetenta MB.BS

NPI 1447459763 - Internal Medicine - 207RC0200X

NPI Details
NPI 1447459763
Gender Male
Enumeration Date 07/16/2007
Last Updated 02/10/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
2301 HOUSE AVE
SUITE 201
CHEYENNE WY, 82001-3176, US
Phone (307) 638-7757
Fax (307) 638-8359
Business Location
4620 GRANDVIEW AVE
STE 201
CHEYENNE WY, 82009-4964, US
Phone (307) 638-7757
Fax (307) 638-8359
Toxanomy
Taxonomy Code 207RC0200X
License State Wyoming
License Number 8081A
Remove 1447459763 NPI Number
 

According to our database, Sodienye Tetenta MB.BS NPI is 1447459763, taxonomy code is 207RC0200X and license number is 8081A, license state is located at Wyoming. Sodienye Tetenta MB.BS physically located at 2301 House Ave, Cheyenne WY, 82001-3176. NPI Number Sodienye Tetenta MB.BS has the Individual type.

Sponsored links

1447459763 NPI number is provided on an as is basis without warranty of any kind. 1447459763 is maintained by the National Plan & Provider Enumeration System. The contents of Sodienye Tetenta MB.BS are for informational purposes only.