Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daulton K. Grube, MD

Individual provider Pediatrics Physician · NPI 1790434801

Daulton K. Grube, MD is a Pediatric Medicine in Cheyenne, Wyoming. Graduated from University of Washington School of Medicine in 2022, 4 years ago. Works from 2 locations. Licensed in Wyoming.

Years since qualifying
4
Trained at
University of Washington School of Medicine
Licensed in
WY
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2301 House Ave Ste 405
Cheyenne, WY 82001-3180
Phone: (307) 635-7961
Fax: (307) 778-5812
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4116 Laramie St, Cheyenne, WY 82001-1969 — (307) 635-7961

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 18656A (WY)

Record details

NPI number1790434801
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2022
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing addressPo Box 20970, Cheyenne, WY 82003-7020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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