NPI 1033290978

Fred a Baldwin, PA

Practitioner Physician Assistant Kemmerer, WY

Practice location

Address: 711 Onyx St, Kemmerer, WY 83101-3214
Phone: (307) 877-4496
Fax: (307) 877-9769

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 175 (WY)

Other Physician Assistant providers in Wyoming →

Registry record

NPI: 1033290978
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2006
Record last updated: 6 Jan 2012

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.