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-- LISA A. JARVIS -- PA

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1780777169
Provider Type
Individual Provider (NPI-1)
Credentials
PA
Status
Active

Contact & Location

Address
777 AVENUE H, POWELL, WY, 82435
Phone
(307) 754-7257
Fax
(307) 754-7217

Specialties & Taxonomies

Physician Assistant Primary License: WI #877

All Addresses

MAILING

777 AVE H

POWELL, WY, 82435

(307) 754-7257

LOCATION

777 AVENUE H

POWELL, WY, 82435

(307) 754-7257