Organization
TETON MRI
Active
Other names
MRI of Jackson Hole
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J KREN (CONTROLLER)
(307) 739-7526
Entity
Organization
Contact information
Practice address
625 E BROADWAY, JACKSON, WY 83001
(307) 739-7234
(307) 739-7449
Mailing address
PO BOX 4606, JACKSON, WY 83001
(307) 739-7234
(307) 739-7449
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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