ST JOHN'S SURGICAL GROUP, PC
Organization (NPI-2)
Active
Surgery
Provider Information
- NPI Number
1356406557- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 555 E BROADWAY AVE SUITE 229, JACKSON, WY, 830018640
- Phone
- (307) 733-0422
- Fax
- (307) 733-2580
Specialties & Taxonomies
Surgery
Primary License: WY #5051A