NPI 1003167594

Travis Scoresby, PAC

Practitioner Physician Assistant Casper, WY

Practice location

Address: 5000 Blackmore Rd, Casper, WY 82609-3345
Phone: (307) 233-6000
Fax: (307) 233-6089

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 555 (WY)

Other Physician Assistant providers in Wyoming →

Registry record

NPI: 1003167594
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2012
Record last updated: 9 Jan 2020

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.