Snake River Plastic Surgery LLC
Snake River Plastic Surgery LLC provides Specialist services in Jackson, Wyoming. Licensed in Wyoming. Registered with an NPI since 2010.
- Licensed in
- WY
- In the registry since
- 2010
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
555 E Broadway Ste 212Jackson, WY 83001 Not confirmed with CMS for 16 years — call before visiting
Phone: (307) 733-6077
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 2735A (WY) |
|---|
Record details
| NPI number | 1104137074 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Gellis — Member · (307) 733-6077 |
| NPI enumerated | June 25, 2010 |
| Last updated in NPPES | June 25, 2010 |
| Mailing address | Po Box 2862, Jackson, WY 83001-2862 |
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-
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-
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