MARY WIDENER
Physician Assistant
Active
Individual
NPI: 1508164856
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 511 (WY) |
Frequently Asked Questions
NPI 1508164856 is the National Provider Identifier for MARY WIDENER, a Physician Assistant provider located in Gillette, WY. This NPI was enumerated on March 10, 2011.
MARY WIDENER practices at 407 S MEDICAL ARTS CT STE F, Gillette, WY 82716.
Quick Facts
- NPI
- 1508164856
- Type
- Individual
- Enumerated
- Mar 10, 2011
- Last Updated
- May 24, 2021
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