Individual
ETHAN DUCHARME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1201 E 7TH ST, POWELL, WY 82435-2126
(307) 764-4107
Mailing address
1201 E 7TH ST, POWELL, WY 82435-2126
(307) 764-4107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1324
WY
Other
Enumeration date
07/07/2022
Last updated
12/08/2025
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