Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Hole Surgery

Organization Surgery Physician · NPI 1437321650

Jackson Hole Surgery is a Surgery Physician 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
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