Individual
MR. DYLAN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2751 COMMERCIAL WAY, ROCK SPRINGS, WY 82901-4753
(307) 382-7414
(307) 382-7396
Mailing address
2751 COMMERCIAL WAY, ROCK SPRINGS, WY 82901-4753
(307) 382-7414
(307) 382-7396
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
437
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457548083
NPI
WY
Enumeration date
09/27/2007
Last updated
01/08/2014
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