Corey Lynn Ernst PA C

NPI 1083697064 - Physician Assistant - 363A00000X

NPI Details
NPI 1083697064
Gender Male
Enumeration Date 11/23/2005
Last Updated 10/02/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2003 BLUEGRASS CIRCLE
CHEYENNE WY, 82009, US
Phone (307) 634-4357
Fax (307) 634-7773
Business Location
1110 CRESCENT DR
CHEYENNE WY, 82007-9107, US
Phone (307) 630-2973
Fax (307) 638-0394
Toxanomy
Taxonomy Code 363A00000X
License State Wyoming
License Number 187
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According to our database, Corey Lynn Ernst PA C NPI is 1083697064, taxonomy code is 363A00000X and license number is 187, license state is located at Wyoming. Corey Lynn Ernst PA C physically located at 2003 Bluegrass Circle, Cheyenne WY, 82009. NPI Number Corey Lynn Ernst PA C has the Individual type.

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1083697064 NPI number is provided on an as is basis without warranty of any kind. 1083697064 is maintained by the National Plan & Provider Enumeration System. The contents of Corey Lynn Ernst PA C are for informational purposes only.