Organization · Type 2 NPI

Teton Internal Medicine PC

Specialist · Jackson, WY

NPI number 1649474362 Active

Practice location

555 East Broadway, Suite 220
Jackson, WY 83001

Mailing address

PO Box 2257
Idaho Falls, ID 83403-2257

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1649474362

Teton Internal Medicine PC's National Provider Identifier is 1649474362, issued on Jun 14, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jackson, WY. The record was last updated on May 27, 2008.