| St Johns Medical Center Physician Services | |
|
Box 428 625 E Broadway Ave Jackson WY 83001-8642 | |
| (307) 733-3636 | |
| (307) 734-9881 |
| Full Name | St Johns Medical Center Physician Services |
|---|---|
| Speciality | General Practice |
| Location | Box 428 625 E Broadway Ave, Jackson, Wyoming |
| Authorized Official Name and Position | John J. Kren (CFO) |
| Authorized Official Contact | 3077397526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Johns Medical Center Physician Services Po Box 428 Jackson WY 83001-0428 Ph: (307) 739-7250 | St Johns Medical Center Physician Services Box 428 625 E Broadway Ave Jackson WY 83001-8642 Ph: (307) 733-3636 |
| NPI Number | 1457665333 |
|---|---|
| Provider Enumeration Date | 08/03/2010 |
| Last Update Date | 08/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457665333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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