Organization · Type 2 NPI
Grand Teton Medical Clinic
Urgent Care Clinic/Center · Moran, WY
NPI number
1891997151
Active
Practice location
Inner Loop Road, Jackson Lake Lodge
Moran, WY 83013
Fax (307) 543-2514
Mailing address
PO Box 15240
Jackson, WY 83002-5240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urgent Care Clinic/Center Primary | 261QU0200X | None listed |
Urgent Care Clinic/Center: Definition to come...
About NPI 1891997151
Grand Teton Medical Clinic's National Provider Identifier is 1891997151, issued on May 31, 2007. The primary taxonomy on file is Urgent Care Clinic/Center (261QU0200X), and the practice location is in Moran, WY. The record was last updated on Aug 2, 2007.