Organization
A FRANCINE TRYKA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA FRANCINE TRYKA MD (PRESIDENT)
(307) 733-6418
Entity
Organization
Contact information
Practice address
625 E BROADWAY, JACKSON, WY 83001
(307) 733-6418
Mailing address
PO BOX 3789, JACKSON, WY 83001-3789
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130561100
—
WY
Enumeration date
02/08/2011
Last updated
07/06/2011
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