NPI 1265214688

Jay Staley

Practitioner Student in an Organized Health Care Education/Training Program Evanston, WY

Practice location

Address: 350 City View Dr STE 206, Evanston, WY 82930-5326
Phone: (307) 789-7915
Fax: (307) 789-6009

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Wyoming →

Registry record

NPI: 1265214688
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2023
Record last updated: 19 Oct 2023

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.