Big Horn Basin Childrens Clinic PC

NPI #1629304589 in Cody, Wyoming

Provider Information

NPI Number: 1629304589
Entity Type: Organization
Organization Name: Big Horn Basin Childrens Clinic PC
Primary Specialty: Pediatrics
Enumeration Date: Oct 28, 2009
Last Updated: Mar 13, 2018

Practice Location

Address: 1220 SUNSHINE AVE SUITE 101
City: Cody
State: Wyoming
ZIP Code: 82414
Phone: (307) 587-5545

Authorized Official

Name: ROBERT NEIL TREECE, M.D.
Title: OWNER
Phone: (307) 587-5545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Provider Name	Specialty	City
Peter Damian Sidor, M.D.	Pediatrics	Cody	AI Deep Dive
MR. Charles Edward Jamieson, MD	Pediatrics	Cody	AI Deep Dive
DR. Chandrashekar Yeshlur, M.D	Pediatrics	Rock Springs	AI Deep Dive
Michael R Fisher, MD	Pediatrics	Riverton	AI Deep Dive

Organizations

Provider Name	Specialty	City
Big Horn Basin Children's Clinic, PC	Pediatrics	Cody	AI Deep Dive

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