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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

NPI Number 1841364882
LBN Legal business name JACKSON HOLE OBGYN PC
Authorized official ROGER BRECHEEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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