IndividualActive
Bryan Tipton, PA-C, MPAS
NPI 1780149948 · Physician Assistant · Powell, WY
Provider details
- NPI number
- 1780149948
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C, MPAS
- Sex
- Male
- Sole proprietor
- No
- License
- PA827 (WY)
Practice location
777 Avenue H
Powell, WY 82435-2260
Phone: (307) 754-7257
Fax: (307) 754-7217
Mailing address
777 Avenue H
Powell, WY 82435-2260
Registry dates
- Enumerated
- 2019-02-01
- Last updated
- 2022-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.