Individual
JACK HILDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1001 WEST MAIN STREET, RIVERTON, WY 82501
(307) 856-6591
Mailing address
4390 WEST MOUNTIAN VIEW DRIVE, RIVERTON, WY 82501
(307) 851-1256
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
15067
WY
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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