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Individual

RICHARD GREER SUGDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
557 E BROADWAY AVE, JACKSON, WY 83001-8640
(307) 733-7771
(307) 733-8276
Mailing address
P.O. BOX 2468, JACKSON, WY 83001-2468
(307) 733-7771
(307) 733-8276

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2355A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106276000
WY
Enumeration date
09/20/2006
Last updated
08/12/2015
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