NPI 1003096959

Corey a Page, PAC

Practitioner Physician Assistant Cheyenne, WY

Practice location

Address: 2030 Bluegrass Cir, Cheyenne, WY 82009-7328
Phone: (307) 286-8236
Mailing address: 539 W 3rd St, Cheyenne, WY 82007-1591

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 378 (WY)

Other Physician Assistant providers in Wyoming →

Registry record

NPI: 1003096959
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Nov 2007
Record last updated: 13 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.