Jacob Ehlert, PA

NPI #1073397113 in Casper, Wyoming

Provider Information

NPI Number: 1073397113
Entity Type: Individual
Name: Jacob Ehlert, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 21, 2023
Last Updated: Aug 21, 2023

Practice Location

Address: 6500 E 2ND ST
City: Casper
State: Wyoming
ZIP Code: 82609-4338
Phone: (307) 577-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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