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Individual

MRS. BETSEY JEAN NEDDERMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
201 YELLOWSTONE AVE, CODY, WY 82414-9313
(307) 527-7561
(307) 527-1959
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA700
WY
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-51580
MT

Other

Enumeration date
05/13/2016
Last updated
12/14/2021
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