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Contact Information

JACKSON HOLE OBGYN PC
555 E BROADWAY
STE 201
JACKSON, WY83001
 Phone: 307-733-8537
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Midwife

176B00000X
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JACKSON HOLE OBGYN PC · (Female)

NPI Number 1841364882
Status Active
Credentials
Entity Individual
Enumeration date 11/20/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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