Individual
BRIAN MCGEOGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4585 FISHING CLUB DR, JACKSON, WY 83001-0015
(808) 214-2992
Mailing address
PO BOX 2302, JACKSON, WY 83001-2302
(307) 699-4733
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
33858
WY
163WE0003X
Emergency Registered Nurse
33858
WY
163WH0200X
Home Health Registered Nurse
Primary
33858
WY
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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