Organization
CHRIS SCHROEDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANI KEELE (ACCOUNT MANAGER)
(208) 525-2090
Entity
Organization
Contact information
Practice address
150 BUFFALO WAY, JACKSON, WY 83002
(307) 733-8677
Mailing address
PO BOX 9193, JACKSON, WY 83002-9193
(208) 525-2090
(208) 525-2662
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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