Individual
ETHAN DUCHARME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
902 BLACKBURN ST, CODY, WY 82414-8494
(307) 243-3554
(307) 269-9232
Mailing address
902 BLACKBURN ST, CODY, WY 82414-8494
(307) 243-3554
(307) 269-9232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1324
WY
Other
Enumeration date
07/07/2022
Last updated
07/10/2026
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