Individual
VALARIE L KOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1333 W 5TH ST, STE 206, SHERIDAN, WY 82801
(307) 673-8383
Mailing address
1333 W 5TH ST, SUITE 103, SHERIDAN, WY 82801-2752
(307) 672-8921
(307) 672-3944
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
WY 357
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122418200
—
WY
01
—
313957
BLUE CROSS
WY
Enumeration date
06/29/2006
Last updated
09/09/2008
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