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Grand Teton Medical Clinic
Urgent Care Clinic/Center in Moran, Wyoming
NPI 1891997151

Grand Teton Medical Clinic is a Urgent Care Clinic/Center based in Jackson, WY and is specialized in Urgent Care. Grand Teton Medical Clinic practices in Moran, WY. The NPI Number for Grand Teton Medical Clinic is 1891997151 and holds a License No. (Wyoming).

The current practice location address for Grand Teton Medical Clinic is Inner Loop Road, Moran, WY and can be reached out via phone at 307-543-2514 and via fax at 307-543-2514.

Location: Inner Loop Road, Moran, WY, 83002-5240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891997151
Provider Name
Grand Teton Medical Clinic
Credential
Provider Entity Type
Organization
Address
Inner Loop Road, Moran, WY, 83002-5240
Phone Number
307-543-2514
Fax Number
307-543-2514
Provider Enumeration Date
05/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1096516-00 05 WY
institution
Provider Business Practice Location Address Details
Address
Inner Loop Road
City
Moran
State
Wyoming
Zip
83013
Phone Number
307-543-2514
Fax Number
307-543-2514
person
Provider Business Mailing Address Details
Address
Inner Loop Road
City
Moran
State
Wyoming
Zip
83013
Phone Number
307-543-2514
Fax Number
307-543-2514
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
261QU0200X
License No.
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Definition
Definition to come...
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