OrganizationActive
Jacques D. Beveridge MD, Inc.
NPI 1114057080 · Obstetrics & Gynecology Physician · Lander, WY
Provider details
- NPI number
- 1114057080
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Frederick Zebroski, Manager(307) 332-2223
- License
- 8746.0044 (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1460 Main St
Suite B
Lander, WY 82520-2657
Phone: (307) 332-2223
Approximate (ZIP-level) locationGet directions
Mailing address
1460 Main St
Lander, WY 82520-2657
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2007-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.