Individual
AMANDA MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 634-2273
Mailing address
2300 APACHE ST, CHEYENNE, WY 82009-5030
(307) 399-8797
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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