| NPI | 1154490233 |
|---|---|
| Doing Business As | MRI OF JACKSON HOLE |
| Entity Type | Organization |
| Authorized Contact | JOHN J KREN Controller 307-739-7526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |