MICHAEL JOHN IBRAHIM

CASPER, WY
NPI1235926148
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WY  PA1343)
Enumeration Date2025-04-23
Last Update Date2025-04-23
Business Address
MICHAEL JOHN IBRAHIM
428 S DURBIN ST STE 104
CASPER, WY 82601-2829
Phone number: 307-337-4284
Mailing Address
MICHAEL JOHN IBRAHIM
428 S DURBIN ST STE 104
CASPER, WY 82601-2829
Phone number: 307-337-4284
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