Organization
SWEETWATER PEDIATRICS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDRASHEKAR YESHLUR M.D. (PRESIDENT)
(307) 362-5500
Entity
Organization
Contact information
Practice address
1204 HILLTOP DR, SUITE#106, ROCK SPRINGS, WY 82901-5861
(307) 362-5500
(307) 362-0300
Mailing address
1204 HILLTOP DR, SUITE#106, ROCK SPRINGS, WY 82901-5861
(307) 362-5500
(307) 362-0300
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
6946A
WY
Other
Enumeration date
07/03/2007
Last updated
08/22/2020
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