Clean Clinic Wyoming
Clean Clinic Wyoming is an Addiction Medicine (Family Medicine) Physician in Cheyenne, Wyoming. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1918 Thomes AveCheyenne, WY 82001-3527
Phone: (928) 242-9929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Family Medicine) Physician (primary) | Taxonomy 207QA0401X |
|---|
Record details
| NPI number | 1548909153 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lorence Harmer — Ceo · (801) 946-4045 |
| NPI enumerated | June 1, 2022 |
| Last updated in NPPES | February 17, 2024 |
| Certification date | February 17, 2024 |
| Mailing address | 63 E 11400 S # 275, Sandy, UT 84070-6705 |