Organization
GRAND TETON HEALING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE SLOCUM MD (DOCTOR/OWNER)
(303) 949-1292
Entity
Organization
Contact information
Practice address
5715 E 2ND ST, CASPER, WY 82609-4322
(303) 949-1292
Mailing address
5008 WEDGEWOOD DRIVE, BELLAIRE, TX 77401
(281) 833-3330
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
TL #1019
WY
Other
Enumeration date
11/10/2008
Last updated
02/04/2010
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