Whalio Doctors

NPI 1881883858

Family Practice Associates

Organisation Family Medicine Physician Jackson, WY

Practice location

Address
557 E Broadway Ave, Jackson, WY 83001-8640
Phone
(307) 733-7771
Fax
(307) 733-8276
Mailing address
PO Box 2468, Jackson, WY 83001-2468

Authorised official

Name
Richard Greer Sugden
Title
Physician/Owner
Phone
(307) 733-7771

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2355A (WY)

Registry record

NPI
1881883858
Entity type
Organization
NPI issued
16 Oct 2007
Record last updated
13 Jan 2015

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.