Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Big Horn Basin Childrens Clinic PC

Organization Pediatrics Physician · NPI 1629304589

Big Horn Basin Childrens Clinic PC is a Pediatrics Physician in Cody, Wyoming. Licensed in Wyoming. Registered with an NPI since 2009.

Licensed in
WY
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1220 Sunshine Ave Ste 101
Cody, WY 82414
Phone: (307) 587-5545
Fax: (307) 527-5202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4038A (WY)

Record details

NPI number1629304589
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Treece — Owner · (307) 587-5545
NPI enumeratedOctober 28, 2009
Last updated in NPPESMarch 13, 2018
Mailing address1220 Sunshine Ave, Suite 101, Cody, WY 82414-4234

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