NPI | 1316158272 |
---|---|
Doing Business As | JACKSON PEDIATRICS PC |
Entity Type | Organization |
Authorized Contact | JAMES R LITTLE Owner 307-733-4627 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WY 2242A) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2013-10-24 |