SCHROEDER SURGICAL ASSISTING LLC NPI 1104370337

NPI Information

SCHROEDER SURGICAL ASSISTING LLC is a specialist technologist other in Jackson, WY. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. SCHROEDER SURGICAL ASSISTING LLC NPI is 1104370337. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

625 E BROADWAY AVE
JACKSON, WY
ZIP 83001-642
Phone: (208) 525-2090
Fax: (208) 523-8978

The provider's authorized official is Christopher Philip Schroeder .
The authorized official title is Owner and has the following contact phone number (208) 525-2090.

The enumeration date for this NPI number is 8/4/2016 and was last updated on 8/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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