MR. Jack Vernon Richard, M.D.

NPI #1063656536 in Casper, Wyoming

Provider Information

NPI Number: 1063656536
Entity Type: Individual
Name: MR. Jack Vernon Richard, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Obstetrics & Gynecology
Credential: M.D.
Enumeration Date: Apr 28, 2009
Last Updated: Apr 28, 2009

Practice Location

Address: 3500 HAT SIX ROAD
City: Casper
State: Wyoming
ZIP Code: 82609
Phone: (307) 265-7881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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