Individual
PAULINE ELIZABETH POWERS-PEPRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
29 BLACK COLE, FORT WASHAKIE, WY 82514
(307) 332-7300
Mailing address
29 BLACK COLE, FORT WASHAKIE, WY 82514
(307) 332-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10660A
WY
Other
Enumeration date
04/19/2013
Last updated
08/02/2021
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