Individual provider · Type 1 NPI
Jack Hildner, PA-C
Critical Access Hospital · Riverton, WY
NPI number
1073064705
Active
Practice location
1001 West Main Street
Riverton, WY 82501
Mailing address
4390 West Mountian View Drive
Riverton, WY 82501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Access Hospital Primary | 282NC0060X | 15067 (WY) |
Critical Access Hospital: Definition to come.
About NPI 1073064705
Jack Hildner, PA-C's National Provider Identifier is 1073064705, issued on Oct 18, 2016. The primary taxonomy on file is Critical Access Hospital (282NC0060X), and the practice location is in Riverton, WY. The record was last updated on Oct 18, 2016.