Organization
TOM POCKAT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J POCKAT M.D. (OWNER)
(307) 733-6520
Entity
Organization
Contact information
Practice address
555 E. BROADWAY ST., SUITE 202, JACKSON, WY 83001-4182
(307) 733-6520
(307) 733-3216
Mailing address
PO BOX 4182, JACKSON, WY 83001-4182
(307) 733-6520
(307) 733-3216
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3222A
WY
Other
Enumeration date
04/23/2008
Last updated
06/30/2008
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