RANDI AMANDA LUTHI PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1134630064- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 555 E BROADWAY AVE STE 229, JACKSON, WY, 830018640
- Phone
- (307) 739-7665
Specialties & Taxonomies
Physician Assistant
Primary License: WY #PA731