Daniel W. Fedore, PA

NPI #1902899230 in Casper, Wyoming

Provider Information

NPI Number: 1902899230
Entity Type: Individual
Name: Daniel W. Fedore, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 23, 2005
Last Updated: Jun 11, 2018

Practice Location

Address: 4140 CENTENNIAL HILLS BLVD
Address 2: STE A
City: Casper
State: Wyoming
ZIP Code: 82609
Phone: (307) 265-7205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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