DUANE BRUCE MORTENSON

JACKSON, WY
NPI1578848487
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WY  PA818)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2011-10-12
Last Update Date2021-05-26
Business Address
DUANE BRUCE MORTENSON PA-C
555 E BROADWAY AVE STE 207
JACKSON, WY 83001-8640
Phone number: 307-733-8002
Mailing Address
DUANE BRUCE MORTENSON PA-C
PO BOX 428
JACKSON, WY 83001-0428
Phone number: 307-733-8002
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