TED J AJAX

CODY, WY
NPI1922059500
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: WY  6488A)
Enumeration Date2006-05-16
Last Update Date2012-08-08
Business Address
-- TED J AJAX M.D.
732 LINDSAY LN
CODY, WY 82414-4103
Phone number: 307-587-2139
Mailing Address
-- TED J AJAX M.D.
PO BOX 3451
IDAHO FALLS, ID 83403-3451
Phone number: 208-525-2090
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