Teton Internal Medicine PC

NPI #1649474362 in Jackson, Wyoming

Provider Information

NPI Number: 1649474362
Entity Type: Organization
Organization Name: Teton Internal Medicine PC
Primary Specialty: Specialist
Enumeration Date: Jun 14, 2007
Last Updated: May 27, 2008

Practice Location

Address: 555 EAST BROADWAY
Address 2: SUITE 220
City: Jackson
State: Wyoming
ZIP Code: 83001
Phone: (307) 733-7222

Authorized Official

Name: MR. DENNIS L BUTCHER, MD
Title: PRESIDENT
Phone: (307) 733-7222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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