Individual
THOMAS R AHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
720 LINDSAY LN, STE B, CODY, WY 82414-4103
(307) 578-1953
(307) 578-1956
Mailing address
720 LINDSAY LN, STE B, CODY, WY 82414-4103
(307) 578-1953
(307) 578-1956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TL390
WY
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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