Individual
ROBIN SPROULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
984 W. BROADWAY, STE. 4, JACKSON, WY 83001
(307) 734-1800
Mailing address
984 W. BROADWAY, STE. 4, JACKSON, WY 83001
(307) 734-1800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA676
WY
363AM0700X
Medical Physician Assistant
2107
CO
363AS0400X
Surgical Physician Assistant
2107
CO
Other
Enumeration date
08/20/2014
Last updated
01/09/2023
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