| Jackson Pediatric Associates, Llc | |
|
557 E Broadway Ave Jackson WY 83001-8640 | |
| (307) 733-4627 | |
| (307) 733-5184 |
| Full Name | Jackson Pediatric Associates, Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 557 E Broadway Ave, Jackson, Wyoming |
| Authorized Official Name and Position | Travis John Riddell (PEDIATRICIAN) |
| Authorized Official Contact | 3077334627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Pediatric Associates, Llc Po Box 1029 Jackson WY 83001-1029 Ph: (307) 733-4627 | Jackson Pediatric Associates, Llc 557 E Broadway Ave Jackson WY 83001-8640 Ph: (307) 733-4627 |
| NPI Number | 1912335530 |
|---|---|
| Provider Enumeration Date | 10/16/2013 |
| Last Update Date | 10/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912335530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
Ninak Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 E Broadway, Jackson, WY 82001 Phone: 307-203-9239 | |
Urgent Care Of Jackson Hole, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 South Highway 89, Jackson, WY 83001 Phone: 307-739-8999 | |
Womens Health & Family Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 E Broadway Ave Ste 108, Jackson, WY 83001 Phone: 307-734-1313 Fax: 307-734-5003 | |
Ihc Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 E Broadway, Jackson, WY 83001 Phone: 801-507-3500 | |
Teton County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Box 428 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3636 Fax: 307-734-9881 | |
Sky Physical Therapy Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 W Broadway, Jackson, WY 83001 Phone: 307-733-7173 | |
The Children's Learning Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3105 W Big Trail Dr, Jackson, WY 83001 Phone: 307-733-3791 |