Organization · Type 2 NPI
Wamsutter Community Health Center26-
Medical Physician Assistant · Wamsutter, WY
NPI number
1194056127
Active
Practice location
401 Fultz Drive
Wamsutter, WY 82336
Fax (307) 324-9438
Mailing address
PO Box 208
Wamsutter, WY 82336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 5629A (WY) |
| Medical Physician Assistant Primary | 363AM0700X | 279 (WY) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1194056127
Wamsutter Community Health Center26-'s National Provider Identifier is 1194056127, issued on Jan 14, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wamsutter, WY. The record was last updated on Jan 15, 2010.