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NPI Code Detail

MEDICARE: ROBERT L DARR PA-C

MEDICARE: ROBERT L DARR PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant263WY

General Provider Information

NPI Number : 1942301254
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT L DARR PA-C
Provider Business Mailing Address
First Line : 745 BUENA VISTA
Second Line :
City : LANDER
State : WY
Zip : 82520
Country : US
Telephone Number : 307-332-2941
Fax Number : 307-332-1920
Provider Business Practice Location Address
First Line : 745 BUENA VISTA DR
Second Line :
City : LANDER
State : WY
Zip : 82520-3431
Country : US
Telephone Number : 307-332-2941
Fax Number : 307-332-1920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 06/27/2019

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Directions to “ ROBERT L DARR PA-C” Practice Location

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