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NPI Code Detail

MEDICARE: PRESTON RANDALL HOBBS PPC

MEDICARE:   PRESTON RANDALL HOBBS  PPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorLPC-2464WY

General Provider Information

NPI Number : 1316622483
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRESTON RANDALL HOBBS PPC
Provider Business Mailing Address
First Line : 2710 THOMES AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3029
Country : US
Telephone Number : 307-200-7184
Fax Number :
Provider Business Practice Location Address
First Line : 2710 THOMES AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3029
Country : US
Telephone Number : 307-200-7184
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2023
Last Update Date : 11/18/2025

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Directions to “ PRESTON RANDALL HOBBS PPC” Practice Location

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