Organization
TETON INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS L BUTCHER MD (PRESIDENT)
(307) 733-7222
Entity
Organization
Contact information
Practice address
555 EAST BROADWAY, SUITE 220, JACKSON, WY 83001
(307) 733-7222
Mailing address
PO BOX 2257, IDAHO FALLS, ID 83403-2257
(208) 525-2090
(208) 525-2662
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
05/27/2008
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