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Peter Blumenauer, DC

NPI 1477730281 · on the registry since 2008 · sole proprietor

Practice

Address
320 East Broadway
Suite 1c
Jackson, WY 83001
Phone
(307) 734-0222
Fax
(307) 734-0222
Organisation at this address
Theresa Lerch C Fnp Cnm Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-02-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming