Goose Creek Pediatrics Pc

NPI 1407892300 - Pediatrics - 208000000X

NPI Details
NPI 1407892300
Enumeration Date 06/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARY I MARY
Position OWNER
Phone (307) 672-7700
Fax
Practice Location
1701 W 5TH ST
STE A
SHERIDAN WY, 82801-2748, US
Phone (307) 672-7700
Fax
Business Location
1701 W 5TH ST
STE A
SHERIDAN WY, 82801-2748, US
Phone (307) 672-7700
Fax
Toxanomy
Taxonomy Code 208000000X
License State
License Number
Remove 1407892300 NPI Number
 

According to our database, Goose Creek Pediatrics Pc NPI is 1407892300, taxonomy code is 208000000X Goose Creek Pediatrics Pc physically located at 1701 W 5th St, Sheridan WY, 82801-2748. NPI Number 1033115704 has the healthcare provider type.

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1407892300 NPI number is provided on an as is basis without warranty of any kind. 1407892300 is maintained by the National Plan & Provider Enumeration System. The contents of Goose Creek Pediatrics Pc are for informational purposes only.