# DOUBLE RAINBOW SCIENCES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jackson Hole Center for Preventive Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053554162
- **Authorized official:** DR. ROBERT D. LANGER MD, MPH (MANAGING MEMBER)
- **Authorized official phone:** (307) 733-4452

## Contact information

- **Practice address:** 555 E. BROADWAY, SUITE 108, JACKSON, WY 83001
- **Practice address phone:** (307) 733-4452
- **Mailing address:** PO BOX 7550, JACKSON, WY 83002-7550
- **Mailing address phone:** (307) 733-4452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 7777A | WY | Yes |

## Other

- **Enumeration date:** 04/20/2009
- **Last updated:** 04/20/2009