Individual
SOPHIE BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
820 E 17TH ST, CHEYENNE, WY 82001-4714
(307) 632-2434
Mailing address
820 E 17TH ST, CHEYENNE, WY 82001-4714
(307) 632-2434
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1187
WY
Other
Enumeration date
02/02/2016
Last updated
12/03/2025
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