JACKSON HOLE SURGERY
Organization (NPI-2)
Active
Surgery
Provider Information
- NPI Number
1437321650- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 555 E. BROADWAY SUITE 212, JACKSON, WY, 83001
- Phone
- (307) 734-1600
- Fax
- (307) 733-7679
Specialties & Taxonomies
Surgery
Primary License: WY #6475A