| Nathan Tanner Pc | |
|
200 E Broadway Jackson WY 83001 | |
| (307) 733-2555 | |
| Not Available |
| Full Name | Nathan Tanner Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 200 E Broadway, Jackson, Wyoming |
| Authorized Official Name and Position | Lynette Krause (INSURANCE COORDINATOR) |
| Authorized Official Contact | 3077332555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Tanner Pc Po Box 1190 Jackson WY 83001-1190 Ph: () - | Nathan Tanner Pc 200 E Broadway Jackson WY 83001 Ph: (307) 733-2555 |
| NPI Number | 1144862293 |
|---|---|
| Provider Enumeration Date | 10/10/2019 |
| Last Update Date | 10/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144862293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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