SNAKE RIVER PLASTIC SURGERY LLC is a specialist in Jackson, WY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SNAKE RIVER PLASTIC SURGERY LLC NPI is 1104137074. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
555 E. BROADWAY
SUITE 212
JACKSON, WY
ZIP 83001
Phone: (307) 733-6077
The provider's authorized official is Michael Barry Gellis .
The authorized official title is Member and has the following contact phone number (307) 733-6077.
The enumeration date for this NPI number is 6/25/2010 and was last updated on 6/25/2010.