SNAKE RIVER PLASTIC SURGERY LLC

JACKSON, WY
NPI1104137074
Entity TypeOrganization
Authorized ContactMICHAEL BARRY GELLIS
Member
307-733-6077
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: WY  2735A)
Enumeration Date2010-06-25
Last Update Date2010-06-25
Business Address
SNAKE RIVER PLASTIC SURGERY LLC
555 E. BROADWAY SUITE 212
JACKSON, WY 83001
Phone number: 307-733-6077
Mailing Address
SNAKE RIVER PLASTIC SURGERY LLC
PO BOX 2862
JACKSON, WY 83001-2862
Phone number: 307-733-6077
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