Individual
JULIE C WHITESELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7124 COMMONS DR UNIT C, CHEYENNE, WY 82009-2620
(307) 426-4060
(307) 426-4061
Mailing address
7124 COMMONS DR UNIT C, CHEYENNE, WY 82009-2620
(307) 426-4060
(307) 426-4061
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA0002070
CO
363AM0700X
Medical Physician Assistant
Primary
337
WY
Other
Enumeration date
08/29/2006
Last updated
03/03/2015
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