Individual
PETER DAMIAN SIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 SUNSHINE AVE STE 101, CODY, WY 82414-4247
(307) 587-5545
Mailing address
1220 SUNSHINE AVE STE 101, CODY, WY 82414-4247
(307) 587-5545
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10301A
WY
Other
Enumeration date
04/05/2011
Last updated
06/23/2020
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