ETHAN DUCHARME PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1427781343- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 902 BLACKBURN ST, CODY, WY, 824148494
- Phone
- (307) 243-3554
- Fax
- (307) 269-9232
Specialties & Taxonomies
Physician Assistant
Primary License: WY #PA1324