Jackson Pediatric Associates, Llc
Pediatrics
Jackson Pediatric Associates, Llc is a Jackson, Wyoming based Pediatric center with medical specialization in
General Pediatrics. Jackson Pediatric Associates, Llc is doing business as
Jackson Pediatrics.
It is located at
557 E Broadway Ave, Jackson, Wyoming - 83001-8640. They can be contacted on phone at
307-733-4627 and fax number 307-733-5184.
NPI number (Unique professional ID) for Jackson Pediatric Associates, Llc is
1912335530 which was assigned by NPPES on 16 Oct, 2013 and it was last updated on 16 Oct, 2013.
Jackson Pediatric Associates, Llc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jackson Pediatric Associates, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Jackson Pediatric Associates, Llc |
|---|
| Other Name : | Jackson Pediatrics |
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Business Address:
Jackson Pediatric Associates, Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 557 E Broadway Ave
Jackson, WY, 83001-8640
United States |
|---|
| Phone Number : | 307-733-4627 |
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| Fax Number : | 307-733-5184 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1912335530 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 16 Oct, 2013 |
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| Last Updated On : | 16 Oct, 2013 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Travisjohn Riddell |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PEDIATRICIAN |
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| Phone Number : | 307-733-4627 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jackson Pediatric Associates, Llc are as mentioned. Primary taxonomy code for Jackson Pediatric Associates, Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 261QP2300X | Clinic/Center Primary Care | No | | |
| 208000000X | Pediatrics | Yes | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1029
Jackson, WY, 83001-1029
United States |
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| Phone Number : | 307-733-4627 |
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| Fax Number : | 307-733-5184 |
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Business Location:
Patients can refer following map for directions to
Jackson Pediatric Associates, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.