Individual provider · Type 1 NPI

Calvin P. Schenk, PA

Medical Physician Assistant · Jackson, WY

NPI number 1609323302 Active

Practice location

555 E Broadway Ave, Suite 201
Jackson, WY 83001-8640

Fax (307) 733-9720

Mailing address

PO Box 428
Jackson, WY 83001-0428

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPT701 (WY)

Medical Physician Assistant: Definition to come...

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About NPI 1609323302

Calvin P. Schenk, PA's National Provider Identifier is 1609323302, issued on Sep 9, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jackson, WY. The record was last updated on Sep 28, 2016.