Phillip O Tigert, PAC

NPI #1689670267 in Douglas, Wyoming

Provider Information

NPI Number: 1689670267
Entity Type: Individual
Name: Phillip O Tigert, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jun 28, 2005
Last Updated: Dec 19, 2016

Practice Location

Address: 111 S 5TH ST
City: Douglas
State: Wyoming
ZIP Code: 82633-2434
Phone: (307) 358-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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