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John R Vipperman, PAC
Medical Physician Assistant in Cody, Wyoming
NPI 1992787980

John R Vipperman is a Medical Physician Assistant based in Cody, WY and is specialized in Medical. John R Vipperman practices in Cody, WY and has the professional credentials of PAC. The NPI Number for John R Vipperman is 1992787980 and holds a License No. 306 (Wyoming).

The current practice location address for John R Vipperman is 3030 Big Horn Ave, Cody, WY and can be reached out via phone at 307-578-1955 and via fax at 307-578-1979. You can also correspond with John R Vipperman through the mailing address at 3030 BIG HORN AVE, CODY, WY - 82414-9208 (mailing address contact number: 307-578-1955).

Location: 3030 Big Horn Ave, Cody, WY, 82414-9208
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Provider Profile Details
NPI Number
1992787980
Provider Name
John R Vipperman
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
3030 Big Horn Ave, Cody, WY, 82414-9208
Phone Number
307-578-1955
Fax Number
307-578-1979
Provider Enumeration Date
11/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
810511516021 01 MT EBMS
117477100 05 WY
3110550 01 WY BLUE CROSS
0439535 05 MT
000094353 01 MT BLUE CROSS BUTTE MT
institution
Provider Business Practice Location Address Details
Address
3030 Big Horn Ave
City
State
Zip
82414-9208
Phone Number
307-578-1955
Fax Number
307-578-1979
person
Provider Business Mailing Address Details
Address
3030 Big Horn Ave
City
State
Zip
82414-9208
Phone Number
307-578-1955
Fax Number
307-578-1979
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
306 (Montana)
Definition
Definition to come...
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