NPI | 1588729776 |
---|---|
Doing Business As | SPINE CARE OF JACKSON HOLE |
Entity Type | Organization |
Authorized Contact | MARY C NEAL President 307-734-5999 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WY 6101A) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WY 6101A) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2007-11-02 |