Organization
WOMENS HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S DOUGLAS GEORGE MD (OWNER)
(307) 734-1313
Entity
Organization
Contact information
Practice address
555 E BROADWAY SUITE 108, JACKSON, WY 83001-5550
(307) 734-1313
(307) 734-0314
Mailing address
PO BOX 14230, JACKSON, WY 83002-4230
(307) 734-1313
(307) 734-0314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113684400
—
WY
Enumeration date
10/20/2006
Last updated
01/14/2013
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