institution
Jackson Hole Medical Imaging, Pc
Diagnostic Radiology Physician in Jackson, Wyoming
NPI 1669586632

Jackson Hole Medical Imaging, Pc is a Diagnostic Radiology Physician based in Jackson, WY and is specialized in Diagnostic Radiology. Jackson Hole Medical Imaging, Pc practices in Jackson, WY. The NPI Number for Jackson Hole Medical Imaging, Pc is 1669586632 and holds a License No. (Wyoming).

The current practice location address for Jackson Hole Medical Imaging, Pc is 625 E Broadway, Jackson, WY and can be reached out via phone at 307-733-5229.

Location: 625 E Broadway, Jackson, WY, 83002-7746
institution
Provider Profile Details
NPI Number
1669586632
Provider Name
Jackson Hole Medical Imaging, Pc
Credential
Provider Entity Type
Organization
Address
625 E Broadway, Jackson, WY, 83002-7746
Phone Number
307-733-5229
Fax Number
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0028898 05 ID
303983 01 WY BCBS
107194700 05 WY
institution
Provider Business Practice Location Address Details
Address
625 E Broadway
City
State
Zip
83001-9496
Phone Number
307-733-5229
Fax Number
person
Provider Business Mailing Address Details
Address
625 E Broadway
City
State
Zip
83001-9496
Phone Number
307-733-5229
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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