IndividualActive
John Vipperman, PAC
NPI 1992787980 · Medical Physician Assistant · Cody, WY
Provider details
- NPI number
- 1992787980
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- 306 (MT)
Practice location
3030 Big Horn Ave
Cody, WY 82414-9208
Phone: (307) 578-1955
Fax: (307) 578-1979
Mailing address
3030 Big Horn Ave
Cody, WY 82414-9208
Registry dates
- Enumerated
- 2005-11-16
- Last updated
- 2020-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.