Individual
DR. MARTHA GENE STEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 E BROADWAY AVE STE 207, JACKSON, WY 83001-8640
(307) 733-8002
Mailing address
PO BOX 428, JACKSON HOLE, WY 83001-0428
(307) 739-7434
(307) 734-0914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3000A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113183400
—
WY
Enumeration date
08/18/2006
Last updated
02/18/2021
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