Organization · Type 2 NPI

Dominion Health Inc.

Clinic/Center · Cheyenne, WY

NPI number 1508162785 Active

Practice location

109 517th St, Suite 25
Cheyenne, WY 82001

Call (718) 436-0037 Map

Fax (718) 853-3269

Mailing address

5001A 15th Ave.
Brooklyn, NY 11219

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1508162785

Dominion Health Inc.'s National Provider Identifier is 1508162785, issued on Feb 4, 2011. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Cheyenne, WY. The record was last updated on Feb 4, 2011.