Teton Outpatient Services LLC

NPI #1689651481 in Jackson, Wyoming

Provider Information

NPI Number
1689651481
Entity Type
Organization
Organization Name
Teton Outpatient Services LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Dec 22, 2005
Last Updated
Oct 24, 2024

Practice Location

Address
150 BUFFALO WAY
State
Wyoming
ZIP Code
83001-2530
Phone
(307) 733-8677

Authorized Official

Name
ERIC BOON
Title
OFFICER/AUTHORIZED OFFICIAL
Phone
(480) 567-0269

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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