NPI 1629304589

Big Horn Basin Childrens Clinic PC

Organisation Pediatrics Physician Cody, WY

Practice location

Address: 1220 Sunshine Ave Suite 101, Cody, WY 82414
Phone: (307) 587-5545
Fax: (307) 527-5202
Mailing address: 1220 Sunshine Ave Suite 101, Cody, WY 82414-4234

Authorised official

Name: Robert Neil Treece
Title: Owner
Phone: (307) 587-5545

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 4038A (WY)

Other Pediatrics providers in Wyoming →

Registry record

NPI: 1629304589
Entity type: Organization
NPI issued: 28 Oct 2009
Record last updated: 13 Mar 2018

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.