NPI 1275175622

Moriahn Wilson, PAC

Practitioner Surgical Physician Assistant Gillette, WY

Practice location

Address: 2901 Powder Basin Ave, Gillette, WY 82718-6406
Phone: (307) 682-6222

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 1165639

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Registry record

NPI: 1275175622
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Oct 2019
Record last updated: 11 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.