BRENT BLUE MD

JACKSON, WY
NPI1356556518
Doing Business AsEMERGACARE
Entity TypeOrganization
Authorized ContactBRENT BLUE
Owner
307-733-8002
Organization Subpart ?No
Primary Taxonomy261QU0200X Clinic/Center, Urgent Care
(Licence: WY  3416A)
Enumeration Date2007-05-11
Last Update Date2010-06-28
Business Address
BRENT BLUE MD
982 W BROADWAY
JACKSON, WY 83001
Phone number: 307-733-8002
Mailing Address
BRENT BLUE MD
PO BOX 15240
JACKSON, WY 83002-5240
Phone number: 307-733-8002