Individual
ADAM W CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 AVENUE H, POWELL, WY 82435
(307) 754-3313
(307) 754-7448
Mailing address
777 AVENUE H, POWELL, WY 82435
(307) 754-3313
(307) 754-7448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11686
MT
207Q00000X
Family Medicine Physician
924
SC
Other
Enumeration date
09/20/2006
Last updated
05/06/2015
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