Gros Ventre Ob/gyn, LLP

NPI #1649451907 in Jackson, Wyoming

Provider Information

NPI Number
1649451907
Entity Type
Organization
Organization Name
Gros Ventre Ob/gyn, LLP
Primary Specialty
Obstetrics & Gynecology
Enumeration Date
Nov 15, 2007
Last Updated
Sep 17, 2012

Practice Location

Address
555 E BROADWAY AVE STE 108
State
Wyoming
ZIP Code
83001-8640
Phone
(307) 734-1005

Authorized Official

Name
MAURA LOFARO, MD
Title
OWNER
Phone
(307) 734-1005

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology

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