Teton Surgical Assist Services LLC

NPI #1003349465 in Jackson, Wyoming

Provider Information

NPI Number: 1003349465
Entity Type: Organization
Organization Name: Teton Surgical Assist Services LLC
Primary Specialty: Registered Nurse - Registered Nurse First Assistant
Enumeration Date: Apr 4, 2017
Last Updated: Apr 4, 2017

Practice Location

Address: 1200 MELODY CREEK LN
City: Jackson
State: Wyoming
ZIP Code: 83001-8982
Phone: (307) 413-6424

Authorized Official

Name: JILL VATTER, RNFA
Title: SOLE MEMBER
Phone: (307) 413-6424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse - Registered Nurse First Assistant — Registered Nurse First Assistant	163WR0006X	Primary

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