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Tracy Wickersham-frey, PA-C
Medical Physician Assistant in Gillette, Wyoming
NPI 1447653456

Tracy Wickersham-frey is a Medical Physician Assistant based in Newcastle, WY and is specialized in Medical. Tracy Wickersham-frey practices in Gillette, WY and has the professional credentials of PA-C. The NPI Number for Tracy Wickersham-frey is 1447653456 and holds a License No. (Wyoming).

The current practice location address for Tracy Wickersham-frey is 501 S Burma Ave, Gillette, WY and can be reached out via phone at 307-688-1000.

Location: 501 S Burma Ave, Gillette, WY, 82701-2968
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Provider Profile Details
NPI Number
1447653456
Provider Name
Tracy Wickersham-frey
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
501 S Burma Ave, Gillette, WY, 82701-2968
Phone Number
307-688-1000
Fax Number
Provider Enumeration Date
10/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA618 01 WY PA LICENSE
institution
Provider Business Practice Location Address Details
Address
501 S Burma Ave
City
State
Zip
82716-3426
Phone Number
307-688-1000
Fax Number
person
Provider Business Mailing Address Details
Address
501 S Burma Ave
City
State
Zip
82716-3426
Phone Number
307-688-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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