| Dr James Russell Little, MD | |
|
557 East Broadway, Jackson, WY 83001-1029 | |
| (307) 733-4627 | |
| (307) 733-5184 |
| Full Name | Dr James Russell Little |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 557 East Broadway, Jackson, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720184971 | NPI | - | NPPES |
| 805412900 | Medicaid | ID | |
| 103691200 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2242-A (Wyoming) | Primary |
| 208000000X | Pediatrics | M-8166 (Idaho) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Russell Little, MD Po Box 1029, 557 East Broadway, Jackson, WY 83001-1029 Ph: (307) 733-4627 | Dr James Russell Little, MD 557 East Broadway, Jackson, WY 83001-1029 Ph: (307) 733-4627 |
Ms. Elizabeth Wilson Ridgway, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 557 East Broadway, Jackson, WY 83001 Phone: 307-733-4627 Fax: 307-733-5184 | |
Holly Gail Payne, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 555 E. Broadway, Suite 211, Jackson, WY 83001 Phone: 307-733-8070 Fax: 307-733-8077 | |
Dr. Travis John Riddell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 557 E. Broadway, Jackson, WY 83001 Phone: 307-733-4627 | |
Karin L Klee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 555 E. Broadway, Suite 216, Jackson, WY 83001 Phone: 307-734-0242 Fax: 307-734-2610 | |
Dr. Keri A Wheeler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 557 E Broadway, Jackson, WY 83001 Phone: 307-733-4627 | |
Thomas J Pockat, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 555 East Broadway, Suite 202, Jackson, WY 83001 Phone: 307-733-6520 Fax: 307-733-3216 |