Organization
TETON COUNTY HOSPITAL DISTRICT
Active
Other names
St Johns Medical Center Physician Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J. KREN (CFO)
(307) 739-7526
Entity
Organization
Contact information
Practice address
BOX 428 625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 733-3636
(307) 734-9881
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-7250
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/03/2010
Last updated
08/14/2013
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