Casper Children's Center, Llc

NPI 1114333127 - Pediatrics - 208000000X

NPI Details
NPI 1114333127
Enumeration Date 07/10/2014
Last Updated 07/20/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SHELLEY CYPHER SHELLEY
Position ORGANIZING MEMBER
Phone (307) 577-4260
Fax (307) 333-4263
Practice Location
940 E 3RD ST STE 205
CASPER WY, 82601-3251, US
Phone (307) 577-4260
Fax (307) 333-4263
Business Location
940 E 3RD ST STE 205
CASPER WY, 82601-3251, US
Phone (307) 577-4260
Fax
Toxanomy
Taxonomy Code 208000000X
License State Wyoming
License Number TL2580
Remove 1114333127 NPI Number
 

According to our database, Casper Children's Center, Llc NPI is 1114333127, taxonomy code is 208000000X and license number is TL2580, license state is located at Wyoming. Casper Children's Center, Llc physically located at 940 E 3rd St Ste 205, Casper WY, 82601-3251. NPI Number 1033115704 has the healthcare provider type.

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1114333127 NPI number is provided on an as is basis without warranty of any kind. 1114333127 is maintained by the National Plan & Provider Enumeration System. The contents of Casper Children's Center, Llc are for informational purposes only.