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Organization
NORTHEAST WYOMING PEDIATRIC ASSOCIATES, P.C.
Active
Organization
NORTHEAST WYOMING PEDIATRIC ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE OSS M.D. (PRESIDENT)
(307) 675-5555
Entity
Organization
Contact information
Practice address
916 JACKSON AVE, SHERIDAN, WY 82801-2708
(307) 675-5555
(307) 675-5599
Mailing address
916 JACKSON AVE, SHERIDAN, WY 82801-2708
(307) 675-5555
(307) 675-5599
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NULL
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000405665
—
MT
01
—
00941001
BC BS WY
WY
05
—
100048900
—
WY
05
—
7705130
—
SD
Enumeration date
01/27/2006
Last updated
09/10/2024
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