NPI 1093185191

Stephen Rogers, PAC

Practitioner Surgical Physician Assistant Cody, WY

Practice location

Address: 424 Yellowstone Ave Suite 140, Cody, WY 82414-9309
Phone: (307) 527-7100
Fax: (307) 527-7145

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence MED-PAC-LIC-68103 (MT)

Other Physician Assistant providers in Wyoming →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PT650 (WY)

Registry record

NPI: 1093185191
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Oct 2015
Record last updated: 14 Dec 2021

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.