Individual
ALISSA BROOKE AYLWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 HOUSE AVE STE 201, CHEYENNE, WY 82001-3177
(307) 638-7757
Mailing address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 773-8012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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