Organization
JEFFREY GREENBAUM MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY GREENBAUM (MANAGER)
(307) 690-3383
Entity
Organization
Contact information
Practice address
420 S. JACKSON ST, JACKSON, WY 83001
(307) 690-3383
Mailing address
PO BOX 1983, WILSON, WY 83014-1983
(307) 690-3383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
207P00000X
Emergency Medicine Physician
—
—
Other
Enumeration date
10/14/2024
Last updated
11/26/2024
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