Individual
BRENDA R VANCE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 E UNIVERSITY AVE, UNIVERSITY OF WYOMING STUDENT HEALTH SER. DEPT. 3068, LARAMIE, WY 82071-2000
(307) 776-2139
(307) 776-2711
Mailing address
2566 JEFFERSON ST, LARAMIE, WY 82070-6565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
188
WY
Other
Enumeration date
07/27/2005
Last updated
07/08/2007
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