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Clean Clinic Wyoming
Addiction Medicine (Family Medicine) Physician in Cheyenne, Wyoming
NPI 1548909153

Clean Clinic Wyoming is an Addiction Medicine (Family Medicine) Physician based in Sandy, WY and is specialized in Addiction Medicine. Clean Clinic Wyoming practices in Cheyenne, WY. The NPI Number for Clean Clinic Wyoming is 1548909153 and holds a License No. (Wyoming).

The current practice location address for Clean Clinic Wyoming is 1918 Thomes Ave, Cheyenne, WY and can be reached out via phone at 928-242-9929.

Location: 1918 Thomes Ave, Cheyenne, WY, 84070-6705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548909153
Provider Name
Clean Clinic Wyoming
Credential
Provider Entity Type
Organization
Address
1918 Thomes Ave, Cheyenne, WY, 84070-6705
Phone Number
928-242-9929
Fax Number
Provider Enumeration Date
06/01/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1918 Thomes Ave
City
Cheyenne
State
Wyoming
Zip
82001-3527
Phone Number
928-242-9929
Fax Number
person
Provider Business Mailing Address Details
Address
1918 Thomes Ave
City
Cheyenne
State
Wyoming
Zip
82001-3527
Phone Number
928-242-9929
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
()
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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