Individual
JONATHAN R SAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
103 W 3RD ST, BIG PINEY, WY 83113-5022
(307) 176-3306
(307) 276-3324
Mailing address
PO BOX 1479, ROCK SPRINGS, WY 82902-1479
(307) 382-3064
(307) 382-3033
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TL367
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122130200
—
WY
01
—
314023
BLUE CROSS BLUE SHIELD
WY
Enumeration date
05/08/2007
Last updated
08/07/2023
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