Jacques D. Beveridge MD

NPI #1669426292 in Lander, Wyoming

Provider Information

NPI Number: 1669426292
Entity Type: Organization
Organization Name: Jacques D. Beveridge MD
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: May 19, 2006
Last Updated: Oct 24, 2007

Practice Location

Address: 1460 MAIN ST
Address 2: SUITE B
City: Lander
State: Wyoming
ZIP Code: 82520-2657
Phone: (307) 332-2223

Authorized Official

Name: DR. JACQUES D BEVERIDGE, MD
Title: PRESIDENT
Phone: (307) 332-2223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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