Thomas R Ahern, PA-C

NPI #1912099748 in Cody, Wyoming

Provider Information

NPI Number: 1912099748
Entity Type: Individual
Name: Thomas R Ahern, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 720 LINDSAY LN
Address 2: STE B
City: Cody
State: Wyoming
ZIP Code: 82414-4103
Phone: (307) 578-1953

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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