Jed Cabrera, PA
Physician Assistant in Cheyenne, WY. Individual provider (NPI-1).
NPI number1962500611
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1962500611
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jed Cabrera
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 375 | WY | Yes |
Practice location
820 East 17th StreetCheyenne, WY 82001-4797
Phone 307-632-2434 · Fax 307-634-9295
Mailing address
820 East 17th StreetCheyenne, WY 82001-4797
Phone 307-777-7911 · Fax 307-638-3616
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All 32 Physician Assistant providers in Cheyenne · All 3,729 providers in Cheyenne
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