E Jean Proctor, PA-C

NPI #1215334560 in Casper, Wyoming

Provider Information

NPI Number
1215334560
Entity Type
Individual
Name
E Jean Proctor, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Dec 2, 2014
Last Updated
May 29, 2015

Practice Location

Address
940 E 3RD ST STE 103
City
Casper
State
Wyoming
ZIP Code
82601-3200
Phone
(307) 439-2031

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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