Individual
BREIANA PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 432-3118
Mailing address
705 ROBBIES VIEW DR, LANDER, WY 82520-3951
(307) 349-9638
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/25/2020
Last updated
03/30/2022
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