| Jackson Pediatrics | |
|
557 E Broadway Ave Jackson WY 83001-8640 | |
| (307) 733-4627 | |
| (307) 733-5184 |
| Full Name | Jackson Pediatrics |
|---|---|
| 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 Pediatrics Po Box 1029 Jackson WY 83001-1029 Ph: (307) 733-4627 | Jackson Pediatrics 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 | () | Secondary |
| 208000000X | Pediatrics | () | Primary |
Ninak Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 E Broadway, Jackson, WY 82001 Phone: 307-203-9239 |
Womens Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway Suite 108, Jackson, WY 83001 Phone: 307-734-1313 Fax: 307-734-0314 |
Womens Health & Family Care, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway Ave Ste 108, Jackson, WY 83001 Phone: 307-734-1313 Fax: 307-734-5003 |
Imed Utah Heart - Jackson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 E Broadway, Jackson, WY 83001 Phone: 801-507-3500 |
St Johns Medical Center Physician Services 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 |
Symmetry Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 E Broadway Ave Ste 1c, Jackson, WY 83001 Phone: 541-261-4748 |