NPI 1063656536

Jack Vernon Richard, MD

Practitioner Obstetrics & Gynecology Physician Casper, WY

Practice location

Address: 3500 Hat Six Road, Casper, WY 82609
Phone: (307) 265-7881
Mailing address: P.O. Box 186, Evansville, WY 82636-0186

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 2274V (WY)

Other Obstetrics & Gynecology providers in Wyoming →

Registry record

NPI: 1063656536
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2009
Record last updated: 28 Apr 2009

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.