Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON HOLE MEDICAL CLINIC, LLC
Active OrganizationJACKSON HOLE MEDICAL CLINIC, LLC is a Allergy organization located in JACKSON, Wyoming. NPI 1699817668 is currently active in the NPPES registry. Verify at CMS.
Allergy · JACKSON, WY
Registration Details
- NPI Number
- 1699817668
- Provider Type
- Organization
- NPI Issued
- Feb 13, 2007 (19.497298468754 yrs)
- Last Updated
- Apr 18, 2008
- License
-
5551A (WY)
Practice Information
- Address
-
1415 S. HIGHWAY 89JACKSON, WY, 83001Browse WY providers · Browse ZIP 83001
- Phone
- 3077398999
- Primary Specialty
-
Allergy
207KA0200X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.