NPI | 1790388213 |
---|---|
Doing Business As | TETON PEDIATRICS |
Entity Type | Organization |
Authorized Contact | JACQUELIN FOSS HARDENBROOK Owner 307-733-6520 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2020-11-18 |
Last Update Date | 2020-12-01 |