Individual
JACOB EHLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6500 E 2ND ST, CASPER, WY 82609-4338
(307) 577-5100
Mailing address
6500 E 2ND ST, CASPER, WY 82609-4338
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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