SNAKE RIVER PLASTIC SURGERY LLC

Specialist

Active Organization
NPI: 1104137074

Practice Address

555 E. BROADWAY
SUITE 212
Jackson, WY 83001

Phone: (307) 733-6077

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 2735A (WY)

Frequently Asked Questions

NPI 1104137074 is the National Provider Identifier for SNAKE RIVER PLASTIC SURGERY LLC, a Specialist provider located in Jackson, WY. This NPI was enumerated on June 25, 2010.

Quick Facts

NPI
1104137074
Type
Organization
Enumerated
Jun 25, 2010
Last Updated
Jun 25, 2010

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