TETON DERMATOLOGY INC
Ambulatory Health at Broadway, Jackson, WY

License number
Wyoming 8097A
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: MR. JONATHAN GLENN BAKER M.D.
Title: OWNER
Phone: (307) 734-1800
Address
Address
984 WEST Broadway SUITE 4, Jackson, WY 83001
National Provider ID: 1194044750
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TETON DERMATOLOGY INC at bizstanding.com

Teton Dermatology, Inc

Jackson, WY

Industry:
Medical Doctor's Office, Dermatologist, Orthopedics, ...
Registration:
Mar 16, 2010
Site:
tetonorthopaedics.com
Phone:
(619) 589-3442 (Phone)
Addresses:
984 W Broadway SUITE 4, Jackson, WY 83001 (Physical)
PO Box 14510, Jackson, WY 83002 (Mailing)
555 E Broadway, Jackson, WY 83001
State ID:
2010-000581741
Business type:
Profit Corporation - Domestic
Expiration:
Perpetual
Medical Assistants:
Brittany W. Baker (Dermatology, Medical Doctor),Jonathan Baker (Dermatology, Medical Doctor, President),Kelly N. O'connor (Medical Assistant)

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