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Miss JENNA BRIANDA PITMAN PA

Individual Provider (NPI-1) Active

Physician Assistant, Medical

Provider Information

NPI Number
1427349711
Provider Type
Individual Provider (NPI-1)
Credentials
PA
Status
Active

Contact & Location

Address
75 YELLOW CREEK RD STE 102, EVANSTON, WY, 829305205
Phone
(307) 789-8290
Fax
(307) 789-8975

Specialties & Taxonomies

Physician Assistant License: TX #1097238
Physician Assistant, Medical Primary License: WY #WY-PA714

All Addresses

MAILING

500 S 11TH AVE STE 400

POCATELLO, ID, 832014880

(208) 232-7862

LOCATION

75 YELLOW CREEK RD STE 102

EVANSTON, WY, 829305205

(307) 789-8290