| Ninak Inc. | |
|
170 E Broadway Jackson WY 82001-9906 | |
| (307) 203-9239 | |
| Not Available |
| Full Name | Ninak Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 170 E Broadway, Jackson, Wyoming |
| Authorized Official Name and Position | Michael John Lee (FAMILY PRACTICE) |
| Authorized Official Contact | 3072039239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ninak Inc. 23371 Mulholland Dr Ste 327 Woodland Hills CA 91364-2734 Ph: (307) 203-9239 | Ninak Inc. 170 E Broadway Jackson WY 82001-9906 Ph: (307) 203-9239 |
| NPI Number | 1033437132 |
|---|---|
| Provider Enumeration Date | 05/13/2010 |
| Last Update Date | 05/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033437132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6084A (Wyoming) | Primary |
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