Individual
TOBIN S DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 EAST BROADWAY AVE, JACKSON, WY 83001-8642
(307) 739-7250
(307) 739-7249
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-7250
(307) 739-7249
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12045A
WY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
12045A
WY
Other
Enumeration date
05/06/2016
Last updated
01/23/2021
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