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Individual

ALEXA CALLISON-BURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
14 GREAT PLAINS RD, ARAPAHOE, WY 82510
(307) 856-9281
Mailing address
350 CLIFF ST, LANDER, WY 82520-3334
(307) 438-3008

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/09/2018
Last updated
10/20/2022
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