Organization · Type 2 NPI
Evernorth Care Providers - Arizona PC
General Practice Physician · Cheyenne, WY
NPI number
1679336812
Active
Practice location
1603 Capitol Ave Ste 510D
Cheyenne, WY 82001-4563
Fax (312) 564-4059
Mailing address
730 Cool Springs Blvd Ste 500
Franklin, TN 37067-7331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1679336812
Evernorth Care Providers - Arizona PC's National Provider Identifier is 1679336812, issued on Jan 31, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Cheyenne, WY. The record was last updated on Jan 31, 2024.