Individual
SARAH COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 W 5TH STREET, ATTENTION MEDICAL SERVICES STAFF, SHERIDAN, WY 82801
(307) 672-1079
Mailing address
1401 W 5TH STREET, ATTENTION MEDICAL SERVICES STAFF, SHERIDAN, WY 82801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60719
CA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
03/07/2020
Last updated
03/30/2022
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