OrganizationActive
307 Pediatrics LLC
NPI 1265288526 · Pediatrics Physician · Casper, WY
Provider details
- NPI number
- 1265288526
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jessica Peterson, Cpnp-Pc
Mailing address
940 E 3rd St Ste 203
Casper, WY 82601-3251
Registry dates
- Enumerated
- 2024-04-27
- Last updated
- 2024-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.