Individual provider · Type 1 NPI

Sky Wolf

Military Health Care Provider · Cheyenne, WY

NPI number 1174765093 Active

Practice location

6900 Alden Dr Bldg 160
Cheyenne, WY 82005-2945

Call (307) 773-2779 Map

Other practice locations

  • 9500 Gilman Dr, La Jolla, CA 92093-0811 · (858) 534-9540
  • 820 E 17th St, Cheyenne, WY 82001-4714 · (307) 632-2434

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X12285A (WY)
Public Health & General Preventive Medicine Physician 2083P0901X20A11115 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

12 other providers at this address

About NPI 1174765093

Sky Wolf's National Provider Identifier is 1174765093, issued on Mar 25, 2009. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Cheyenne, WY. The record was last updated on Oct 27, 2023.