Individual
WILLIAM R SHUGHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
(307) 233-6089
Mailing address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
(307) 233-6089
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
237
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112256800
—
WY
01
—
314488
BSWY
WY
01
—
P00411787
RRGA
—
Enumeration date
06/06/2006
Last updated
11/10/2016
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