| NPI | 1699817668 |
|---|---|
| Doing Business As | ALLERGY & ASTHMA CLINIC OF JACKSON HOLE |
| Entity Type | Organization |
| Authorized Contact | FRANKLIN RIVERS Owner 307-739-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: WY 5551A) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-04-18 |