Double Rainbow Sciences, LLC
Organization Active NPI Medical Specialty Clinic/Center · Jackson, WY
NPI 1053554162 · NPPES record last updated Apr 20, 2009
Key facts
- NPI
- 1053554162
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- License
- 7777A (WY)
- Legal business name
- DOUBLE RAINBOW SCIENCES, LLC
- Practice address
- 555 E. Broadway
Suite 108
Jackson, WY 83001 - Phone
- (307) 733-4452
- NPI assigned
- Apr 20, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert D. Langer, MD, MPH
- Title
- Managing Member
- Phone
- (307) 733-4452
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 7777A | WY | Yes |
Addresses
Primary practice location
555 E. Broadway
Suite 108
Jackson, WY 83001
Mailing address
PO Box 7550
Jackson, WY 83002-7550
Phone (307) 733-4452
Other names
- Jackson Hole Center for Preventive Medicine
Other providers in Jackson, WY
- Erin Michelle Dittburner
- Doctronic Physicians Group Wy, P.C.
- Marc F Domsky
- Rebekah Donley
- Donna J. Andrus
- Eric Doyle
- Dr Riley PC
- Daniel Draper
- Patricia Drui
- Jacob Louis Durham
All providers in Jackson, WY · Medical Specialty Clinic/Center in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.