IndividualActive
Stephen Rogers, PA-C
NPI 1093185191 · Surgical Physician Assistant · Cody, WY
Provider details
- NPI number
- 1093185191
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PT650 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
424 Yellowstone Ave
Suite 140
Cody, WY 82414-9309
Phone: (307) 527-7100
Fax: (307) 527-7145
Approximate (ZIP-level) locationGet directions
Mailing address
424 Yellowstone Ave
Cody, WY 82414-9309
Registry dates
- Enumerated
- 2015-10-01
- Last updated
- 2021-12-14
- Certified
- 2021-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.