Individual
PAUL ALLEN EGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2761 COMMERCIAL WAY, ROCK SPRINGS, WY 82901-4753
(307) 382-3064
(307) 382-3303
Mailing address
428 S DURBIN ST, STE 104, CASPER, WY 82601-2818
(307) 337-4284
(307) 462-0922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6306798-1206
UT
363A00000X
Physician Assistant
PA630
WY
Other
Enumeration date
04/11/2011
Last updated
05/07/2020
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