IndividualActive
Donald Tardif, PA-C
NPI 1891887170 · Physician Assistant · Gillette, WY
Provider details
- NPI number
- 1891887170
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 246 (WY)
Practice location
501 S Burma Ave
Gillette, WY 82716-3426
Phone: (307) 464-0413
Fax: (307) 688-7965
Mailing address
Po Box 3011
Gillette, WY 82717-3011
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2020-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.