Individual
COREY A PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2030 BLUEGRASS CIR, CHEYENNE, WY 82009-7328
(307) 286-8236
Mailing address
539 W 3RD ST, CHEYENNE, WY 82007-1591
(307) 286-8236
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
378
WY
Other
Enumeration date
11/08/2007
Last updated
09/13/2011
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