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SKY WOLF

Military Health Care Provider

NPI: 1174765093IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Medicine

Code: 207Q00000X

12285A(WY)

Preventive Medicine — Public Health & General Preventive Medicine

Code: 2083P0901X

20A11115(CA)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Military Health Care Provider

Code: 171000000X

CMS Specialties

PrimaryFAMILY PRACTICE

Education

OTHER

Class of 2008

Contact & Hours

Via practice · 3 locations total

Address
6900 ALDEN DR BLDG 160
CHEYENNE, WY 82005

Quick Facts

NPI
1174765093
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
4
Locations
3
Years in Practice
18

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