Surgical Associates of Northern Wyoming, P.c.

NPI #1477542231 in Cody, Wyoming

Provider Information

NPI Number: 1477542231
Entity Type: Organization
Organization Name: Surgical Associates of Northern Wyoming, P.c.
Primary Specialty: Surgery
Enumeration Date: Oct 14, 2005
Last Updated: Dec 6, 2007

Practice Location

Address: 1021 9TH ST
City: Cody
State: Wyoming
ZIP Code: 82414-3433
Phone: (307) 587-1257

Authorized Official

Name: JAMES L JOHNSON II, M.D.
Title: PRESIDENT
Phone: (307) 587-1257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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