JACKSON PEDIATRICS P.C.
Medical Practice in Jackson, WY

License number
Wyoming 2242A
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. JAMES R LITTLE M.D.
Title: OWNER
Phone: (307) 733-4627
Address
Address
557 E. Broadway 557 E. BROADWAY, Jackson, WY 83001
National Provider ID: 1316158272
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jackson Pediatrics, PC

Jackson, WY

Industry:
Medical Doctor's Office
Registration:
Mar 23, 1982
Phone:
(307) 733-4627 (Phone)
Addresses:
PO Box 1029, Jackson, WY 83001 (Physical)
557 E Broadway, Jackson, WY 83001
State ID:
1980-000190990
Business type:
Profit Corporation - Domestic
Expiration:
Perpetual
Secretarys:
James R. Little (President, Medical Doctor, Owner),Elizabeth W. Ridgay (Vice-President),Missy Matkin (Office Manager),...

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