Individual
JEAN STACHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1208 HILLTOP DR STE 105, ROCK SPRINGS, WY 82901-5858
(307) 382-8644
(307) 382-8645
Mailing address
1208 HILLTOP DR STE 105, ROCK SPRINGS, WY 82901-5858
(307) 382-8644
(307) 382-8645
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3841A
WY
Other
Enumeration date
10/04/2006
Last updated
08/16/2010
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