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 provides Pediatrics Physician services 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
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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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