307 Pediatrics LLC

NPI #1265288526 in Casper, Wyoming

Provider Information

NPI Number: 1265288526
Entity Type: Organization
Organization Name: 307 Pediatrics LLC
Primary Specialty: Pediatrics
Enumeration Date: Apr 27, 2024
Last Updated: Apr 27, 2024

Practice Location

Address: 940 E 3RD ST STE 203
City: Casper
State: Wyoming
ZIP Code: 82601-3251
Phone: (307) 851-3606

Authorized Official

Name: JESSICA PETERSON, APRN
Title: CPNP-PC
Phone: (307) 216-5310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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