Grand Teton Healing Center INC

NPI #1609020254 in Casper, Wyoming

Provider Information

NPI Number: 1609020254
Entity Type: Organization
Organization Name: Grand Teton Healing Center INC
Primary Specialty: Clinic/Center - Rehabilitation
Enumeration Date: Nov 10, 2008
Last Updated: Feb 4, 2010

Practice Location

Address: 5715 E 2ND ST
City: Casper
State: Wyoming
ZIP Code: 82609-4322
Phone: (303) 949-1292

Authorized Official

Name: DR. GENE SLOCUM, MD
Title: DOCTOR/OWNER
Phone: (303) 949-1292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X	Primary

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