Tom Pockat Md Pc

NPI 1225203011 - Pediatrics - 208000000X

NPI Details
NPI 1225203011
Enumeration Date 04/23/2008
Last Updated 06/30/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name THOMAS J THOMAS
Position OWNER
Phone (307) 733-6520
Fax (307) 733-3216
Practice Location
555 E. BROADWAY ST.
SUITE 202
JACKSON WY, 83001-4182, US
Phone (307) 733-6520
Fax (307) 733-3216
Business Location
PO BOX 4182
JACKSON WY, 83001-4182, US
Phone (307) 733-6520
Fax (307) 733-3216
Toxanomy
Taxonomy Code 208000000X
License State Wyoming
License Number 3222A
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According to our database, Tom Pockat Md Pc NPI is 1225203011, taxonomy code is 208000000X and license number is 3222A, license state is located at Wyoming. Tom Pockat Md Pc physically located at 555 E. Broadway St., Jackson WY, 83001-4182. NPI Number 1033115704 has the healthcare provider type.

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1225203011 NPI number is provided on an as is basis without warranty of any kind. 1225203011 is maintained by the National Plan & Provider Enumeration System. The contents of Tom Pockat Md Pc are for informational purposes only.