NPI 1083917355

John Dudley Duross, PAC

Practitioner Physician Assistant Jackson, WY

Practice location

Address: 1415 S Hwy 89, Jackson, WY 83001-8515
Phone: (307) 739-8999
Fax: (307) 739-4811
Mailing address: PO Box 428, Jackson, WY 83001-0428

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA1104 (WY)

Other Physician Assistant providers in Wyoming →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 7821385-1206 (UT)

Registry record

NPI: 1083917355
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Dec 2010
Record last updated: 5 Nov 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.