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NPI Profile for CHARLES J AMY in GREEN RIVER, WY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI Number | 1679512305 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 06/06/2006 | |
| Last updated | 06/16/2015 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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CHARLES J AMY
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CHARLES J AMY, PA-C