Individual
DOUGLAS TEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
430 S MEDICAL ARTS CT, GILLETTE, WY 82716-3364
(307) 685-6500
(307) 685-3081
Mailing address
430 S MEDICAL ARTS CT, GILLETTE, WY 82716-3364
(307) 685-6500
(307) 685-3081
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
547
WY
Other
Enumeration date
08/06/2012
Last updated
04/28/2021
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