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Organization
TETON COUNTY HOSPITAL DISTRICT
Active
Organization
TETON COUNTY HOSPITAL DISTRICT
Active
Other names
St Johns Medical Center Physician Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J. KREN (CFO)
(307) 739-7526
Entity
Organization
Contact information
Practice address
BOX 428 625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 733-3636
(307) 734-9881
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-7250
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/03/2010
Last updated
08/14/2013
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