NPI 1205121209

Casper Pediatrics

Organisation Pediatrics Physician Casper, WY

Practice location

Address: 1300 E a St Suite 206, Casper, WY 82601-2260
Phone: (307) 265-2400
Fax: (307) 265-2566

Authorised official

Name: Ambrose Soler
Title: Owner
Phone: (307) 265-2400

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 8373A (WY)

Other Pediatrics providers in Wyoming →

Registry record

NPI: 1205121209
Entity type: Organization
NPI issued: 17 Jun 2011
Record last updated: 17 Jun 2011

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.