Individual
ARTHUR J FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
4136 LARAMIE ST, SUITE B, CHEYENNE, WY 82001-1969
(307) 637-2800
(307) 637-2867
Mailing address
5307 YELLOWSTONE RD, SUITE B, CHEYENNE, WY 82009-4736
(307) 632-7677
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
206
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121860300
—
WY
01
—
314333
BLUE CROSS BLUE SHIELD
WY
01
—
315527
BSWY
WY
Enumeration date
02/07/2006
Last updated
03/15/2016
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