ST JOHN'S SURGICAL GROUP, PC

JACKSON, WY
NPI1356406557
Entity TypeOrganization
Authorized ContactMICHAEL ROSENBERG
President
307-733-0422
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
(Licence: WY  5051A)
Enumeration Date2006-12-27
Last Update Date2014-09-25
Business Address
ST JOHN'S SURGICAL GROUP, PC
555 E BROADWAY AVE SUITE 229
JACKSON, WY 83001-8640
Phone number: 307-733-0422
Mailing Address
ST JOHN'S SURGICAL GROUP, PC
PO BOX 4197
JACKSON, WY 83001-4197
Phone number: 307-733-0422
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