MRS. Carol Lee Quillen, P.A.-C.

NPI #1093801664 in Lander, Wyoming

Provider Information

NPI Number: 1093801664
Entity Type: Individual
Name: MRS. Carol Lee Quillen, P.A.-C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C.
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 745 BUENA VISTA DR
City: Lander
State: Wyoming
ZIP Code: 82520-3431
Phone: (307) 332-2941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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