Individual
OSCAR AGUIRRE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
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
363AM0700X
Medical Physician Assistant
Primary
910
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009187
KAISER-COMMERCIAL NUMBER
—
05
—
05737753
—
CO
Enumeration date
02/28/2007
Last updated
12/29/2016
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