| Womens Health Center | |
|
555 E Broadway Suite 108 Jackson WY 83001-5550 | |
| (307) 734-1313 | |
| (307) 734-0314 |
| Full Name | Womens Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 555 E Broadway Suite 108, Jackson, Wyoming |
| Authorized Official Name and Position | S Douglas George (OWNER) |
| Authorized Official Contact | 3077341313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Womens Health Center Po Box 14230 Jackson WY 83002-4230 Ph: (307) 734-1313 | Womens Health Center 555 E Broadway Suite 108 Jackson WY 83001-5550 Ph: (307) 734-1313 |
| NPI Number | 1134201957 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 01/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134201957 | NPI | - | NPPES |
| 113684400 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
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