Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel W. Fedore, PA

Individual provider Physician Assistant · NPI 1902899230

Daniel W. Fedore, PA is a Physician Assistant in Casper, Wyoming. Works from 2 locations. Licensed in Wyoming.

Licensed in
WY
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4140 Centennial Hills Blvd Ste A
Casper, WY 82609
Phone: (307) 265-7205
Fax: (307) 235-6262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 W Main St, Riverton, WY 82501-3230 — (307) 265-7205

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 247 (WY)

Record details

NPI number1902899230
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 23, 2005
Last updated in NPPESJune 11, 2018

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