MARK MATTHEW NEIMAT M.D.
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1407143100- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 625 E BROADWAY AVE, JACKSON, WY, 830018642
- Phone
- (307) 733-3636
- Fax
- (888) 329-5701
Specialties & Taxonomies
Internal Medicine
Primary License: UT #13244411-1205
Internal Medicine
License: WY #10289A
Family Medicine
License: CO #CDR.3892