Individual
MRS. SALLY J WHITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
721 SHERIDAN AVE, STE 220, CODY, WY 82414-3423
(307) 587-1155
(307) 587-1166
Mailing address
721 SHERIDAN AVE, STE 220, CODY, WY 82414-3423
(307) 587-1155
(307) 587-1166
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
316 TL
WY
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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