Individual
MRS. WENDY J WATSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CFA
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 634-2273
Mailing address
PO BOX 2417, CHEYENNE, WY 82003-2417
(307) 638-0300
(307) 638-0394
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
00F496
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305168
BLUE CROSS BLUE SHIELD
WY
Enumeration date
04/27/2006
Last updated
07/08/2007
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