Tom Pockat MD PC

NPI #1225203011 in Jackson, Wyoming

Provider Information

NPI Number: 1225203011
Entity Type: Organization
Organization Name: Tom Pockat MD PC
Primary Specialty: Pediatrics
Enumeration Date: Apr 23, 2008
Last Updated: Jun 30, 2008

Practice Location

Address: 555 E. BROADWAY ST.
Address 2: SUITE 202
City: Jackson
State: Wyoming
ZIP Code: 83001-4182
Phone: (307) 733-6520

Authorized Official

Name: THOMAS J POCKAT, M.D.
Title: OWNER
Phone: (307) 733-6520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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