NPI 1114907722

Dave R Brumbaugh, PAC

Practitioner Surgical Physician Assistant Laramie, WY

Practice location

Address: 1909 Vista Dr, Laramie, WY 82070-5530
Phone: (307) 745-8851
Fax: (307) 742-0961

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 388 (WY)

Other Physician Assistant providers in Wyoming →

Registry record

NPI: 1114907722
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2006
Record last updated: 8 Jul 2007

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.