Snake River Plastic Surgery Llc - Jackson, WY

Snake River Plastic Surgery Llc

Specialist in Jackson, Wyoming

NPI 1104137074

Snake River Plastic Surgery Llc is a Specialist based in Jackson, WY. Snake River Plastic Surgery Llc practices in Jackson, WY. The NPI Number for Snake River Plastic Surgery Llc is 1104137074 and holds a License No. 2735A (Wyoming).

The current practice location address for Snake River Plastic Surgery Llc is 555 E. Broadway, Jackson, WY and can be reached out via phone at 307-733-6077.

Location: 555 E. Broadway, Jackson, WY, 83001-2862

NPI Number

1104137074

Provider Name

Snake River Plastic Surgery Llc

Credential

Provider Entity Type

Organization

Address

555 E. Broadway, Jackson, WY, 83001-2862

Phone Number

307-733-6077

Fax Number

Provider Enumeration Date

06/25/2010

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
1508997032	01	WY	NPI TYPE 1

Address

555 E. Broadway

City

Jackson

State

Wyoming

Zip

83001

Phone Number

307-733-6077

Fax Number

Address

555 E. Broadway

City

Jackson

State

Wyoming

Zip

83001

Phone Number

307-733-6077

Fax Number

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

2735A (Wyoming)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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