John R Vipperman, PAC

NPI #1992787980 in Cody, Wyoming

Provider Information

NPI Number
1992787980
Entity Type
Individual
Name
John R Vipperman, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PAC
Enumeration Date
Nov 16, 2005
Last Updated
Jan 30, 2020

Practice Location

Address
3030 BIG HORN AVE
City
Cody
State
Wyoming
ZIP Code
82414-9208
Phone
(307) 578-1955

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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