Organization
JACKSON HOLE OBGYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER MALCOM BRECHEEN MD FACOG (OWNER)
(307) 733-8537
Entity
Organization
Contact information
Practice address
555 E BROADWAY, STE 201, JACKSON, WY 83001
(307) 733-8537
Mailing address
PO BOX 15570, JACKSON, WY 83002
(307) 733-8537
(307) 733-0141
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
11/20/2006
Last updated
09/11/2025
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