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Dr. Jason D Provus, MD
Orthopedic Surgery Physician in Jackson, Wyoming
NPI 1972821320

Jason D Provus is a Orthopedic Surgery Physician based in Jackson, WY. Jason D Provus practices in Jackson, WY and has the professional credentials of MD. The NPI Number for Jason D Provus is 1972821320 and holds a License No. 16633A (Wyoming).

The current practice location address for Jason D Provus is 555 E Broadway Ave Ste 129, Jackson, WY and can be reached out via phone at 307-733-3900 and via fax at 307-739-7683. You can also correspond with Jason D Provus through the mailing address at PO BOX 428, JACKSON, WY - 83001-0428 (mailing address contact number: 307-733-3900).

Location: 555 E Broadway Ave Ste 129, Jackson, WY, 83001-0428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972821320
Provider Name
Jason D Provus
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
555 E Broadway Ave Ste 129, Jackson, WY, 83001-0428
Phone Number
307-733-3900
Fax Number
307-739-7683
Provider Enumeration Date
05/10/2010
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
555 E Broadway Ave Ste 129
City
Jackson
State
Wyoming
Zip
83001-8640
Phone Number
307-733-3900
Fax Number
307-739-7683
person
Provider Business Mailing Address Details
Address
Po Box 428
City
Jackson
State
Wyoming
Zip
83001-0428
Phone Number
307-733-3900
Fax Number
307-739-7683
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
16633A (Wyoming)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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