NPI 1699817668

Jackson Hole Medical Clinic, LLC

Organisation Allergy Physician Jackson, WY

Practice location

Address: 1415 S. Highway 89, Jackson, WY 83001
Phone: (307) 739-8999
Mailing address: PO Box 8640, Jackson, WY 83002-8640

Authorised official

Name: Franklin Rivers
Title: Owner
Phone: (307) 739-8999

Registered specialties

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence 5551A (WY)

Other Allergy & Immunology providers in Wyoming →

Registry record

NPI: 1699817668
Entity type: Organization
NPI issued: 13 Feb 2007
Record last updated: 18 Apr 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.