| Jeffrey Greenbaum Md | |
|
625 E Broadway Ave Jackson WY 83001-8642 | |
| (307) 690-3383 | |
| Not Available |
| Full Name | Jeffrey Greenbaum Md |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 625 E Broadway Ave, Jackson, Wyoming |
| Authorized Official Name and Position | Jeffrey Greenbaum (MANAGER) |
| Authorized Official Contact | 3076903383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Greenbaum Md Po Box 1983 Wilson WY 83014-1983 Ph: (307) 690-3383 | Jeffrey Greenbaum Md 625 E Broadway Ave Jackson WY 83001-8642 Ph: (307) 690-3383 |
| NPI Number | 1407676596 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 10/14/2024 |
| Certification Date | 10/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407676596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Secondary |
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