OrganizationActive
Jacques D. Beveridge MD
NPI 1669426292 · Obstetrics & Gynecology Physician · Lander, WY
Provider details
- NPI number
- 1669426292
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacques Beveridge, President(307) 332-2223
- License
- 6275A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
- 2006-05-19
- 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.