Individual
PHILLIP O TIGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-7300
Mailing address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-7300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0364
SD
Other
Enumeration date
06/28/2005
Last updated
12/19/2016
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