Jan Mason-Manzer, PA-C

NPI #1083783054 in Newcastle, Wyoming

Provider Information

NPI Number: 1083783054
Entity Type: Individual
Name: Jan Mason-Manzer, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 6, 2006
Last Updated: Dec 17, 2013

Practice Location

Address: 1121 WASHINGTON AVE
City: Newcastle
State: Wyoming
ZIP Code: 82701
Phone: (307) 746-3582

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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