MS. Joann Bourlier-Childress, PAC

NPI #1063491892 in Cheyenne, Wyoming

Provider Information

NPI Number
1063491892
Entity Type
Individual
Name
MS. Joann Bourlier-Childress, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PAC
Enumeration Date
Jan 11, 2006
Last Updated
Jan 13, 2010

Practice Location

Address
214 E 23RD ST
State
Wyoming
ZIP Code
82001-3748
Phone
(307) 634-2273

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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