| 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 |