JACKSON PEDIATRICS P.C.
Organization (NPI-2)
Active
Pediatrics
Provider Information
- NPI Number
1316158272- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 557 E. BROADWAY 557 E. BROADWAY, JACKSON, WY, 830018300
- Phone
- (307) 733-4627
- Fax
- (307) 733-5184
Specialties & Taxonomies
Pediatrics
Primary License: WY #2242A