Whalio Doctors

NPI 1063828291

Sterling T. Fenwick, PAC

Practitioner Medical Physician Assistant Cody, WY

Practice location

Address
720 Lindsay Ln STE C, Cody, WY 82414-4143
Phone
(307) 578-2180
Fax
(307) 578-2181
Mailing address
707 Sheridan Ave, Cody, WY 82414-3409

Registered specialties (3)

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA600 (WY)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA2018-0013 (NM)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 7817012-1206 (UT)

Registry record

NPI
1063828291
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Jul 2014
Record last updated
30 Sep 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.