NPI 1053658641

Broghan Enright, PAC

Practitioner Physician Assistant Cheyenne, WY

Practice location

Address: 6900 Alden Dr, Cheyenne, WY 82005-2945
Phone: (307) 773-5054
Mailing address: 6900 Alden Dr Bldg 570, Fe Warren Afb, WY 82005-2945

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1053658641
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jan 2013
Record last updated: 16 Sep 2024

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.