IndividualActive
Dave Brumbaugh, PA-C
NPI 1114907722 · Surgical Physician Assistant · Laramie, WY
Provider details
- NPI number
- 1114907722
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 388 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1909 Vista Dr
Laramie, WY 82070-5530
Phone: (307) 745-8851
Fax: (307) 742-0961
Approximate (ZIP-level) locationGet directions
Mailing address
1909 Vista Dr
Laramie, WY 82070-5530
Registry dates
- Enumerated
- 2006-01-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.