Organization · Type 2 NPI

Jackson Hole Medical Imaging, PC

Diagnostic Radiology Physician · Jackson, WY

NPI number 1669586632 Active

Practice location

625 E Broadway, St Johns Medical Center-Dept Of Radiology
Jackson, WY 83001-9496

Mailing address

PO Box 7746
Jackson, WY 83002-7746

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

10 other providers at this address

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About NPI 1669586632

Jackson Hole Medical Imaging, PC's National Provider Identifier is 1669586632, issued on Aug 18, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jackson, WY. The record was last updated on Oct 17, 2026.