SNAKE RIVER PLASTIC SURGERY LLC
Organization (NPI-2)
Active
Specialist
Provider Information
- NPI Number
1104137074- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 555 E. BROADWAY SUITE 212, JACKSON, WY, 83001
- Phone
- (307) 733-6077
Specialties & Taxonomies
Specialist
Primary License: WY #2735A