Individual provider · Type 1 NPI

Michael John Ibrahim

Physician Assistant · Casper, WY

NPI number 1235926148 Active

Practice location

428 S Durbin St Ste 104
Casper, WY 82601-2829

Fax (307) 224-3436

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA1343 (WY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1235926148

Michael John Ibrahim's National Provider Identifier is 1235926148, issued on Apr 23, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Casper, WY. The record was last updated on Apr 23, 2025.