Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jackson Hole Surgery

Organization Surgery Physician · NPI 1437321650

Jackson Hole Surgery provides Surgery Physician services in Jackson, Wyoming. Licensed in Wyoming. Registered with an NPI since 2008.

Licensed in
WY
In the registry since
2008

Practice location Address checks out

555 E Broadway Ste 212
Jackson, WY 83001 Not confirmed with CMS for 18 years — call before visiting
Phone: (307) 734-1600
Fax: (307) 733-7679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 6475A (WY)

Record details

NPI number1437321650
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Balliro — Owner · (307) 734-1600
NPI enumeratedMarch 27, 2008
Last updated in NPPESMarch 27, 2008
Mailing addressPo Box 12976, Jackson, WY 83002-2976

Other providers in Jackson