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Contact Information

ERIC A ANDERSON, PA-C
47 DOC PERKES RD
AFTON, WY83110-7703
 Phone: 307-885-3637
 Fax: 307-885-3638
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ERIC A ANDERSON · (Male)

NPI # 1801220454
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/29/2013
Last updated 10/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PA.60410145
  • WA License # PA60410145
  • WY Other PT890 STATE
Hospital affiliation(s)
  • STAR VALLEY MEDICAL CENTER - (Critical Access)
    901 ADAMS STREET
    AFTON, WY 83110
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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