Healthcare Provider Details

I. General information

NPI: 1841992187
Provider Name (Legal Business Name): JULIA KATHERINE PFROMM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 N 30TH ST
LARAMIE WY
82072-5140
US

IV. Provider business mailing address

255 N 30TH ST
LARAMIE WY
82072-5140
US

V. Phone/Fax

Practice location:
  • Phone: 307-742-2141
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberTL9191
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: