NPI 1407892300
Goose Creek Pediatrics PC
Practice location
- Address
- 1701 W 5th St STE a, Sheridan, WY 82801-2748
- Phone
- (307) 672-7700
Authorised official
- Name
- Mary I Bowers
- Title
- Owner
- Phone
- (307) 672-7700
Registered specialties
Pediatrics Physician
Primary
Registry record
- NPI
- 1407892300
- Entity type
- Organization
- NPI issued
- 21 Jun 2006
- Record last updated
- 22 Aug 2020
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.