IndividualActive
Douglas Tew, PA-C
NPI 1902153323 · Physician Assistant · Gillette, WY
Provider details
- NPI number
- 1902153323
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 547 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
430 S Medical Arts Ct
Gillette, WY 82716-3364
Phone: (307) 685-6500
Fax: (307) 685-3081
Approximate (ZIP-level) locationGet directions
Mailing address
430 S Medical Arts Ct
Gillette, WY 82716-3364
Registry dates
- Enumerated
- 2012-08-06
- Last updated
- 2021-04-28
- Certified
- 2021-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.