# 307 PEDIATRICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265288526
- **Authorized official:** JESSICA PETERSON APRN (CPNP-PC)
- **Authorized official phone:** (307) 216-5310

## Contact information

- **Practice address:** 940 E 3RD ST STE 203, CASPER, WY 82601-3251
- **Practice address phone:** (307) 851-3606
- **Mailing address:** 940 E 3RD ST STE 203, CASPER, WY 82601-3251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2024
- **Last updated:** 04/27/2024