NPI 1053554402

Paul J Jacquay, PAC

Practitioner Physician Assistant Cheyenne, WY

Practice location

Address: 2508 E Fox Farm Rd STE 1a, Cheyenne, WY 82007-2559
Phone: (307) 635-3618
Fax: (307) 635-1442

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 471 (WY)

Other Physician Assistant providers in Wyoming →

Registry record

NPI: 1053554402
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Apr 2009
Record last updated: 29 Apr 2010

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.