Individual
MR. PAUL MICHAEL BEZAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
51 TOWN CENTER DR STE 120, GILLETTE, WY 82718-5521
(307) 271-6477
Mailing address
51 TOWN CENTER DR STE 120, GILLETTE, WY 82718-5521
(307) 682-9962
(307) 257-2930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1039
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2022
Last updated
11/07/2022
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