Individual provider · Type 1 NPI
Tristyn Richendifer, PA-C
Surgical Physician Assistant · Douglas, WY
NPI number
1265816466
Active
Practice location
111 S 5th St
Douglas, WY 82633-2434
Mailing address
808 Riverbend Dr
Douglas, WY 82633-2054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PT639 (WY) |
Surgical Physician Assistant: Definition to come...
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Other surgical physician assistant providers in Douglas
About NPI 1265816466
Tristyn Richendifer, PA-C's National Provider Identifier is 1265816466, issued on Jul 17, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Douglas, WY. The record was last updated on Aug 3, 2022.