Duane Bruce Mortenson, PA-C

NPI #1578848487 in Jackson, Wyoming

Provider Information

NPI Number: 1578848487
Entity Type: Individual
Name: Duane Bruce Mortenson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 12, 2011
Last Updated: May 26, 2021

Practice Location

Address: 555 E BROADWAY AVE STE 207
City: Jackson
State: Wyoming
ZIP Code: 83001-8640
Phone: (307) 733-8002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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