Individual
WYATT CHESTER BARRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1035 ROSE LN, RIVERTON, WY 82501-2286
(307) 856-2185
(307) 233-6041
Mailing address
1035 ROSE LN, RIVERTON, WY 82501-2286
(307) 463-6300
(307) 463-7259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1286
WY
Other
Enumeration date
05/08/2023
Last updated
11/01/2024
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