# JACKSON PEDIATRICS P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jackson Pediatrics PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316158272
- **Authorized official:** DR. JAMES R LITTLE M.D. (OWNER)
- **Authorized official phone:** (307) 733-4627

## Contact information

- **Practice address:** 557 E. BROADWAY, 557 E. BROADWAY, JACKSON, WY 83001-8300
- **Practice address phone:** (307) 733-4627
- **Practice address fax:** (307) 733-5184
- **Mailing address:** PO BOX 1029, 557 E. BROADWAY, JACKSON, WY 83001-1029
- **Mailing address phone:** (307) 733-4627
- **Mailing address fax:** (307) 733-5184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 2242A | WY | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 10/24/2013