Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DUANE BRUCE MORTENSON, PA-C
ActiveDUANE BRUCE MORTENSON, PA-C is a Physician Assistant healthcare provider located in JACKSON, Wyoming. NPI 1578848487 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · JACKSON, WY
Registration Details
- NPI Number
- 1578848487
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2011 (14.801206327039 yrs)
- Last Updated
- May 26, 2021
- License
-
PA818 (WY)
Practice Information
- Address
-
555 E BROADWAY AVE STE 207JACKSON, WY, 830018640Browse WY providers · Browse ZIP 83001
- Phone
- 3077338002
- Fax
- 3077330032
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in JACKSON, WY
| Name | Credential | NPI |
|---|---|---|
| JENNIFER J FRITCH | PA | 1194890590 |
| LANSWORTH JOHNSON | — | 1609085794 |
| MR. JOHN DUDLEY DUROSS | PA-C | 1083917355 |
| JENNIFER R ALMOND | PA-C | 1023361425 |
| MS. IRENE ANN NELSON | PA-C | 1093050510 |
| ROBIN SPROULE | — | 1497154975 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.