Jackson Hole Surgery

NPI #1437321650 in Jackson, Wyoming

Provider Information

NPI Number: 1437321650
Entity Type: Organization
Organization Name: Jackson Hole Surgery
Primary Specialty: Surgery
Enumeration Date: Mar 27, 2008
Last Updated: Mar 27, 2008

Practice Location

Address: 555 E. BROADWAY
Address 2: SUITE 212
City: Jackson
State: Wyoming
ZIP Code: 83001
Phone: (307) 734-1600

Authorized Official

Name: JAMES M. BALLIRO, M.D.
Title: OWNER
Phone: (307) 734-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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