Organization
MEDICAL PSYCHOTHERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP W GIRLING M.D. (OWNER/ PHYSICIAN)
(307) 201-1254
Entity
Organization
Contact information
Practice address
140 E BROADWAY AVE, JACKSON, WY 83001-8632
(307) 201-1254
Mailing address
PO BOX 589, JACKSON, WY 83001-0589
(307) 201-1254
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M-8621
ID
Other
Enumeration date
05/28/2006
Last updated
04/07/2014
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