NPI 1477660447 · live from the CMS NPI Registry
Big Horn Pediatrics
Pediatrics in Gillette, WY. National Provider Identifier 1477660447, active.
NPI record
| NPI | 1477660447 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 1308 W 4th St, Gillette, WY 82716 |
| Practice phone | 307-687-1300 |
| Enumerated | August 24, 2006 |
| Last updated | July 27, 2020 |
| Authorized official | Ann Edwards, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Pediatrics primary | 208000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.