Organization
URGENT CARE OF JACKSON HOLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANKLIN MUSSER RIVERS JR. MD (PRESIDENT)
(307) 739-8999
Entity
Organization
Contact information
Practice address
1415 SOUTH HIGHWAY 89, JACKSON, WY 83001
(307) 739-8999
Mailing address
PO BOX 8640, JACKSON, WY 83002-8640
(307) 739-8999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5551A
WY
261QU0200X
Urgent Care Clinic/Center
Primary
5551A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104032416
—
WY
Enumeration date
05/15/2007
Last updated
04/18/2008
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