Donald B Tardif, PA-C

NPI #1891887170 in Gillette, Wyoming

Provider Information

NPI Number: 1891887170
Entity Type: Individual
Name: Donald B Tardif, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 28, 2006
Last Updated: Oct 14, 2020

Practice Location

Address: 501 S BURMA AVE
City: Gillette
State: Wyoming
ZIP Code: 82716-3426
Phone: (307) 464-0413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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