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Organization
307 PEDIATRICS LLC
Active
Organization
307 PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA PETERSON APRN (CPNP-PC)
(307) 216-5310
Entity
Organization
Contact information
Practice address
940 E 3RD ST STE 203, CASPER, WY 82601-3251
(307) 851-3606
Mailing address
940 E 3RD ST STE 203, CASPER, WY 82601-3251
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NULL
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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