Organization
JACKSON PEDIATRICS P.C.
Active
Other names
Jackson Pediatrics PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R LITTLE M.D. (OWNER)
(307) 733-4627
Entity
Organization
Contact information
Practice address
557 E. BROADWAY, 557 E. BROADWAY, JACKSON, WY 83001-8300
(307) 733-4627
(307) 733-5184
Mailing address
PO BOX 1029, 557 E. BROADWAY, JACKSON, WY 83001-1029
(307) 733-4627
(307) 733-5184
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2242A
WY
Other
Enumeration date
05/24/2007
Last updated
10/24/2013
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