Individual
JERRY S JARRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2002 W SUNSET DR, SUITE 2, RIVERTON, WY 82501-2283
(307) 463-7160
(307) 463-7159
Mailing address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
(307) 233-6089
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4167A
WY
207Q00000X
Family Medicine Physician
Primary
4167A
WY
Other
Enumeration date
10/12/2005
Last updated
07/15/2019
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