Bryan Kenneth Tipton, PA-C, MPAS

NPI #1780149948 in Powell, Wyoming

Provider Information

NPI Number: 1780149948
Entity Type: Individual
Name: Bryan Kenneth Tipton, PA-C, MPAS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, MPAS
Enumeration Date: Feb 1, 2019
Last Updated: May 25, 2022

Practice Location

Address: 777 AVENUE H
City: Powell
State: Wyoming
ZIP Code: 82435-2260
Phone: (307) 754-7257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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