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

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPT639 (WY)

Surgical Physician Assistant: Definition to come...

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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.