Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gros Ventre OB/GYN, LLP

Organization Obstetrics & Gynecology Physician · NPI 1649451907

Gros Ventre OB/GYN, LLP is an Obstetrics & Gynecology Physician in Jackson, Wyoming. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

555 E Broadway Ave Ste 108
Jackson, WY 83001-8640
Phone: (307) 734-1005
Fax: (307) 734-1065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1649451907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maura Lofaro — Owner · (307) 734-1005
NPI enumeratedNovember 15, 2007
Last updated in NPPESSeptember 17, 2012
Mailing addressPo Box 3306, Idaho Falls, ID 83403-3306

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