Teton Pathology, PC

NPI #1780027953 in Jackson, Wyoming

Provider Information

NPI Number
1780027953
Entity Type
Organization
Organization Name
Teton Pathology, PC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Apr 8, 2013
Last Updated
Apr 8, 2013

Practice Location

Address
625 E BROADWAY AVE
State
Wyoming
ZIP Code
83001-8642
Phone
(307) 733-3636

Authorized Official

Name
DR. LARS CONWAY, M.D.
Title
PRESIDENT
Phone
(612) 801-6060

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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