institution
Teton Sports & Spine Imaging, Llc
Radiology Clinic/Center in Jackson, Wyoming
NPI 1427574987

Teton Sports & Spine Imaging, Llc is a Radiology Clinic/Center based in Idaho Falls, WY and is specialized in Radiology. Teton Sports & Spine Imaging, Llc practices in Jackson, WY. The NPI Number for Teton Sports & Spine Imaging, Llc is 1427574987 and holds a License No. (Wyoming).

The current practice location address for Teton Sports & Spine Imaging, Llc is 250 Scott Ln Ste 110, Jackson, WY and can be reached out via phone at 307-201-5380 and via fax at 307-201-5202. You can also correspond with Teton Sports & Spine Imaging, Llc through the mailing address at PO BOX 3083, IDAHO FALLS, ID - 83403-3083 (mailing address contact number: 800-338-5378).

Location: 250 Scott Ln Ste 110, Jackson, WY, 83403-3083
institution
Provider Profile Details
NPI Number
1427574987
Provider Name
Teton Sports & Spine Imaging, Llc
Credential
Provider Entity Type
Organization
Address
250 Scott Ln Ste 110, Jackson, WY, 83403-3083
Phone Number
307-201-5380
Fax Number
307-201-5202
Provider Enumeration Date
08/16/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1427574987 05 WY
institution
Provider Business Practice Location Address Details
Address
250 Scott Ln Ste 110
City
State
Zip
83001-8060
Phone Number
307-201-5380
Fax Number
307-201-5202
person
Provider Business Mailing Address Details
Address
Po Box 3083
City
State
Zip
83403-3083
Phone Number
800-338-5378
Fax Number
208-523-8978
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Magnetic Resonance Imaging (MRI)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
()
Definition
Definition to come...
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