JACKSON HOLE SURGERY

JACKSON, WY
NPI1437321650
Entity TypeOrganization
Authorized ContactJAMES M. BALLIRO
Owner
307-734-1600
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
(Licence: WY  6475A)
Enumeration Date2008-03-27
Last Update Date2008-03-27
Business Address
JACKSON HOLE SURGERY
555 E. BROADWAY SUITE 212
JACKSON, WY 83001
Phone number: 307-734-1600
Mailing Address
JACKSON HOLE SURGERY
PO BOX 12976
JACKSON, WY 83002-2976
Phone number: 307-734-1600