NPI 1184863342

Courtney Gordon, PAC

Practitioner Physician Assistant Laramie, WY

Practice location

Address: 3810 E Grand Ave, Laramie, WY 82070-5179
Phone: (307) 721-1794
Fax: (907) 721-1795

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 496 (WY)

Other Physician Assistant providers in Wyoming →

Registry record

NPI: 1184863342
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Feb 2009
Record last updated: 6 Jul 2016

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.