| Cloud Peak Sleep Specialist Llc | |
|
1050 Mydland Rd Sheridan WY 82801-2186 | |
| (307) 673-6300 | |
| Not Available |
| Full Name | Cloud Peak Sleep Specialist Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1050 Mydland Rd, Sheridan, Wyoming |
| Authorized Official Name and Position | Thomas O Mayer (MANAGER) |
| Authorized Official Contact | 3076736300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cloud Peak Sleep Specialist Llc 1050 Mydland Rd Sheridan WY 82801-2186 Ph: (307) 673-6300 | Cloud Peak Sleep Specialist Llc 1050 Mydland Rd Sheridan WY 82801-2186 Ph: (307) 673-6300 |
| NPI Number | 1124204433 |
|---|---|
| Provider Enumeration Date | 01/16/2008 |
| Last Update Date | 01/16/2008 |
| Medicare PECOS PAC ID | 4789768524 |
|---|---|
| Medicare Enrollment ID | O20080303000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124204433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 6950A (Wyoming) | Primary |
| Provider Name | Thomas O Mayer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104813930 PECOS PAC ID: 9638120546 Enrollment ID: I20050209000317 |
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