Jackson Hole Medical Imaging, Pc in Jackson - Diagnostic Radiology
Jackson Hole Medical Imaging, Pc - NPI 1669586632
Jackson Hole Medical Imaging, Pc is a Diagnostic Radiology in Jackson, . Jackson Hole Medical Imaging, Pc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jackson Hole Medical Imaging, Pc is 1669586632. The last update date is 2020-04-15.
Jackson Hole Medical Imaging, Pc's current location address is Po Box 7746, Jackson, . You can contact this provider via phone number 9032743063 and fax number 3145484748. The mailing address for Jackson Hole Medical Imaging, Pc is Po Box 7746, Jackson, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Hole Medical Imaging, Pc |
|---|---|
| Address | Po Box 7746, Jackson, |
| Phone Number | 9032743063 |
| Fax Number | 3145484748 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Haling Sean Christopher |
| Credentials | MD |
| Telephone Number | 3077397280 |
NPI Number Detail
| NPI Number | 1669586632 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2020-04-15 |
Provider Mailing Address Detail
| Address | Po Box 7746 |
|---|---|
| City | Jackson |
| State | (WY) |
| Post Code | 830027746 |
| Phone Number | 9032743063 |
| Fax Number | 3145484748 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 28898 | ID | -- | |
| 303983 | WY | BCBS | |
| 107194700 | WY | -- |
Post Comment/ Review Below
What is the Jackson Hole Medical Imaging, Pc's 1669586632?
The Jackson Hole Medical Imaging, Pc's NPI (National Provider Identifier) Number is 1669586632. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jackson Hole Medical Imaging, Pc?
The Jackson Hole Medical Imaging, Pc is physically situated at Po Box 7746, in the city of Jackson, state of WY, with the postal code 830027746.
What is Jackson Hole Medical Imaging, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jackson Hole Medical Imaging, Pc is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
On what date did the Jackson Hole Medical Imaging, Pc receive the assignment of its 1669586632 from the Centers for Medicare & Medicaid Services?
The Jackson Hole Medical Imaging, Pc was issued its 1669586632 by the Centers for Medicare & Medicaid Services on 2006-08-18.
As of what date were the details pertaining to Jackson Hole Medical Imaging, Pc last refreshed?
The information related to the Jackson Hole Medical Imaging, Pc, including its address, specialty, and other relevant details, was last updated on 2020-04-15.
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