Jackson Hole Obgyn PC

NPI #1841364882 in Jackson, Wyoming

Provider Information

NPI Number: 1841364882
Entity Type: Organization
Organization Name: Jackson Hole Obgyn PC
Primary Specialty: Midwife
Enumeration Date: Nov 20, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 555 E BROADWAY
Address 2: STE 201
City: Jackson
State: Wyoming
ZIP Code: 83001
Phone: (307) 733-8537

Authorized Official

Name: ROGER MALCOM BRECHEEN, MD FACOG
Title: OWNER
Phone: (307) 733-8537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Midwife	176B00000X	Primary

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