IndividualActive
Sterling Fenwick, PA-C
NPI 1063828291 · Medical Physician Assistant · Cody, WY
Provider details
- NPI number
- 1063828291
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA2018-0013 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
720 Lindsay Ln Ste C
Cody, WY 82414-4143
Phone: (307) 578-2180
Fax: (307) 578-2181
Approximate (ZIP-level) locationGet directions
Mailing address
707 Sheridan Ave
Cody, WY 82414-3409
Additional practice locations (1)
- 2310 North 400 EastSuite aNorth Logan, UT 84341-1796Phone: (435) 787-2000Fax: (435) 787-1913
Registry dates
- Enumerated
- 2014-07-09
- Last updated
- 2020-09-30
- Certified
- 2020-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.