IndividualActive
Paul Malsom, PHYSICIAN ASSISTANT
NPI 1720334543 · Medical Physician Assistant · Casper, WY
Provider details
- NPI number
- 1720334543
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Male
- Sole proprietor
- No
- License
- PA.0003502 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5000 Blackmore Rd
Casper, WY 82609-3345
Phone: (307) 233-6000
Fax: (307) 233-6089
Approximate (ZIP-level) locationGet directions
Mailing address
5000 Blackmore Rd
Casper, WY 82609-3345
Registry dates
- Enumerated
- 2012-07-30
- Last updated
- 2018-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.