Goose Creek Pediatrics PC

NPI #1407892300 in Sheridan, Wyoming

Provider Information

NPI Number: 1407892300
Entity Type: Organization
Organization Name: Goose Creek Pediatrics PC
Primary Specialty: Pediatrics
Enumeration Date: Jun 21, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1701 W 5TH ST
Address 2: STE A
City: Sheridan
State: Wyoming
ZIP Code: 82801-2748
Phone: (307) 672-7700

Authorized Official

Name: MARY I BOWERS, MD
Title: OWNER
Phone: (307) 672-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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