Thomas R Ahern PA-C

NPI 1912099748 - Physician Assistant - 363A00000X

NPI Details
NPI 1912099748
Gender Male
Enumeration Date 09/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
720 LINDSAY LN
STE B
CODY WY, 82414-4103, US
Phone (307) 578-1953
Fax (307) 578-1956
Business Location
720 LINDSAY LN
STE B
CODY WY, 82414-4103, US
Phone (307) 578-1953
Fax (307) 578-1956
Toxanomy
Taxonomy Code 363A00000X
License State Wyoming
License Number TL390
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According to our database, Thomas R Ahern PA-C NPI is 1912099748, taxonomy code is 363A00000X and license number is TL390, license state is located at Wyoming. Thomas R Ahern PA-C physically located at 720 Lindsay Ln, Cody WY, 82414-4103. NPI Number Thomas R Ahern PA-C has the Individual type.

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1912099748 NPI number is provided on an as is basis without warranty of any kind. 1912099748 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas R Ahern PA-C are for informational purposes only.