St John's Surgical Group, PC

NPI #1356406557 in Jackson, Wyoming

Provider Information

NPI Number: 1356406557
Entity Type: Organization
Organization Name: St John's Surgical Group, PC
Primary Specialty: Surgery
Enumeration Date: Dec 27, 2006
Last Updated: Sep 25, 2014

Practice Location

Address: 555 E BROADWAY AVE
Address 2: SUITE 229
City: Jackson
State: Wyoming
ZIP Code: 83001-8640
Phone: (307) 733-0422

Authorized Official

Name: MICHAEL ROSENBERG, MD
Title: PRESIDENT
Phone: (307) 733-0422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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