| Zion Mountains | |
|
956 12th St Cody WY 82414-3602 | |
| (307) 355-9266 | |
| Not Available |
| Full Name | Zion Mountains |
|---|---|
| Speciality | Counselor - Professional |
| Location | 956 12th St, Cody, Wyoming |
| Authorized Official Name and Position | Jasen J Livermore (PRESIDENT) |
| Authorized Official Contact | 3073559266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zion Mountains 956 12th St Cody WY 82414-3602 Ph: (307) 355-9266 | Zion Mountains 956 12th St Cody WY 82414-3602 Ph: (307) 355-9266 |
| NPI Number | 1861366270 |
|---|---|
| Provider Enumeration Date | 09/30/2025 |
| Last Update Date | 09/30/2025 |
| Certification Date | 09/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861366270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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