# COWBOY KIDS PEDIATRICS

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

## Provider details

- **NPI number:** 1932348414
- **Authorized official:** RUTH ANNE SMREKAR TOMLINSON M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (307) 699-0932

## Contact information

- **Practice address:** 5237 HHR RANCH RD STE 1, WILSON, WY 83014-9220
- **Practice address phone:** (307) 203-5035
- **Practice address fax:** (949) 655-6058
- **Mailing address:** PO BOX 4755, JACKSON, WY 83001-4755
- **Mailing address phone:** (307) 734-0242
- **Mailing address fax:** (307) 734-8477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 7622A | WY | Yes |

## Other

- **Enumeration date:** 02/06/2009
- **Last updated:** 02/21/2022