Orthopedic Sports Trauma LLC

NPI #1932853561 in Jackson, Wyoming

Provider Information

NPI Number: 1932853561
Entity Type: Organization
Organization Name: Orthopedic Sports Trauma LLC
Primary Specialty: Orthopaedic Surgery - Sports Medicine
Enumeration Date: Feb 11, 2022
Last Updated: Feb 11, 2022

Practice Location

Address: 310 E BROADWAY AVE
City: Jackson
State: Wyoming
ZIP Code: 83001-8636
Phone: (307) 733-2443

Authorized Official

Name: RHETT J GRIGGS, MD
Title: SOLE OWNER
Phone: (970) 901-1287

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X
Orthopaedic Surgery - Orthopaedic Trauma — Orthopaedic Trauma	207XX0801X
Orthopaedic Surgery - Sports Medicine — Sports Medicine	207XX0005X	Primary

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