Casper Pediatrics

NPI #1205121209 in Casper, Wyoming

Provider Information

NPI Number: 1205121209
Entity Type: Organization
Organization Name: Casper Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Jun 17, 2011
Last Updated: Jun 17, 2011

Practice Location

Address: 1300 E A ST
Address 2: SUITE 206
City: Casper
State: Wyoming
ZIP Code: 82601-2260
Phone: (307) 265-2400

Authorized Official

Name: DR. AMBROSE SOLER, M.D.
Title: OWNER
Phone: (307) 265-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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