NPI 1114057080

Jacques D. Beveridge MD, INC.

Organisation Obstetrics & Gynecology Physician Lander, WY

Practice location

Address: 1460 Main St Suite B, Lander, WY 82520-2657
Phone: (307) 332-2223

Authorised official

Name: Frederick J Zebroski
Title: Manager
Phone: (307) 332-2223

Registered specialties (2)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 6275A (WY)

Other Obstetrics & Gynecology providers in Wyoming →

Advanced Practice Midwife

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 8746.0044 (WY)

Other Advanced Practice Midwife providers in Wyoming →

Registry record

NPI: 1114057080
Entity type: Organization
NPI issued: 7 Mar 2007
Record last updated: 24 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.