Alexa Marie Datko, MD

NPI #1952047763 in Casper, Wyoming

Provider Information

NPI Number: 1952047763
Entity Type: Individual
Name: Alexa Marie Datko, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 5, 2022
Last Updated: Jun 13, 2022

Practice Location

Address: 1522 E A ST
City: Casper
State: Wyoming
ZIP Code: 82601-2221
Phone: (307) 234-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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