# CASPER CHILDREN'S CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Casper Children's Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114333127
- **Authorized official:** DR. SHELLEY CYPHER SPRINGER MD (ORGANIZING MEMBER)
- **Authorized official phone:** (612) 685-6709

## Contact information

- **Practice address:** 2222 E 2ND ST, CASPER, WY 82609-2060
- **Practice address phone:** (307) 577-4260
- **Practice address fax:** (307) 577-4263
- **Mailing address:** 2222 E 2ND ST, CASPER, WY 82609-2060
- **Mailing address phone:** (307) 577-4260
- **Mailing address fax:** (307) 577-4263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 9791A | WY | Yes |

## Other

- **Enumeration date:** 07/10/2014
- **Last updated:** 10/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 137748500 | — | WY |