Organization
JACKSON HOLE MEDICAL IMAGING, PC
Active
Other names
JH Medical Imaging PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER SEAN HALING MD (PRESIDENT)
(307) 739-7280
Entity
Organization
Contact information
Practice address
625 E BROADWAY, ST JOHNS MEDICAL CENTER-DEPT OF RADIOLOGY, JACKSON, WY 83001-9496
(307) 733-5229
Mailing address
PO BOX 7746, JACKSON, WY 83002-7746
(903) 274-3063
(314) 548-4748
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0028898
—
ID
05
—
107194700
—
WY
01
—
303983
BCBS
WY
Enumeration date
08/18/2006
Last updated
04/15/2020
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