Cornerstone Programs Corporation | |
3304 E I-80 Service Rd Cheyenne WY 82009-8781 | |
(307) 633-8040 | |
Not Available |
Full Name | Cornerstone Programs Corporation |
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Speciality | General Practice |
Location | 3304 E I-80 Service Rd, Cheyenne, Wyoming |
Authorized Official Name and Position | Joseph P Newman (CEO) |
Authorized Official Contact | 7208951000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cornerstone Programs Corporation 3304 E I-80 Service Rd Cheyenne WY 82009-8781 Ph: (307) 633-8040 | Cornerstone Programs Corporation 3304 E I-80 Service Rd Cheyenne WY 82009-8781 Ph: (307) 633-8040 |
NPI Number | 1710263652 |
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Provider Enumeration Date | 10/24/2011 |
Last Update Date | 10/24/2011 |
Identifier | Type | State | Issuer |
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1710263652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 2008-000552445 (Wyoming) | Primary |
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