TIMOTHY LOGAN COURSEN
Individual Provider (NPI-1)
Active
Emergency Medical Technician, Paramedic
Provider Information
- NPI Number
1265368104- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1052 PETERSDORF DR, RIVERTON, WY, 825012308
- Phone
- (307) 251-8158
Specialties & Taxonomies
Emergency Medical Technician, Paramedic
Primary License: WY #110151
All Addresses
MAILING
PO BOX 504
CASPER, WY, 826020504