Dr AMANDA C DIEFENDERFER PA is a female medical professional, specializing in Physician Assistant. She graduated in 2004.
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
4116 LARAMIE ST
CHEYENNE
WY
820011969
Tel: 3076349311
| Npi | 1659312403 |
| Pac Id | 4587617634 |
| Professional Enrollment Id | I20050301000364 |
| Last Name | DIEFENDERFER |
| First Name | AMANDA |
| Middle Name | C |
| Suffix | |
| Gender | F |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| Organization Legal Name | CHEYENNE REGIONAL PHYSICIANS GROUP LLC |
| Group Practice Pac Id | 2961403639 |
| Number Of Group Practice Members | 77 |
| Line 1 Street Address | 4116 LARAMIE ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CHEYENNE |
| State | WY |
| Zip Code | 820011969 |
| Phone Number | 3076349311 |
| Hospital Affiliation Ccn 1 | 530014 |
| Hospital Affiliation Lbn 1 | CHEYENNE REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 531307 |
| Hospital Affiliation Lbn 2 | COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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