NPI 1649474362
Teton Internal Medicine PC
Practice location
- Address
- 555 East Broadway Suite 220, Jackson, WY 83001
- Phone
- (307) 733-7222
- Mailing address
- PO Box 2257, Idaho Falls, ID 83403-2257
Authorised official
- Name
- Dennis L Butcher
- Title
- President
- Phone
- (307) 733-7222
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1649474362
- Entity type
- Organization
- NPI issued
- 14 Jun 2007
- Record last updated
- 27 May 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.