Grand Teton Medical Clinic
NPI #1891997151 in Moran, Wyoming
Provider Information
- NPI Number
- 1891997151
- Entity Type
- Organization
- Organization Name
- Grand Teton Medical Clinic
- Primary Specialty
- Clinic/Center - Urgent Care
- Enumeration Date
- May 31, 2007
- Last Updated
- Aug 2, 2007
Practice Location
Authorized Official
- Name
- DR. BRENT BLUE, M.D.
- Title
- CLINIC OWNER
- Phone
- (307) 733-8002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
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