Individual
DR. EDWARD BRADSHAW JEPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 E 17TH ST, CHEYENNE, WY 82001-4714
(307) 632-2434
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-1671
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10471A
WY
207Q00000X
Family Medicine Physician
Primary
MED-PHYS-LIC-57694
MT
Other
Enumeration date
03/24/2009
Last updated
07/13/2017
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