Organization · Type 2 NPI

ST John's Surgical Group, PC

Surgery Physician · Jackson, WY

NPI number 1356406557 Active

Practice location

555 E Broadway Ave, Suite 229
Jackson, WY 83001-8640

Call (307) 733-0422 Map

Fax (307) 733-2580

Mailing address

PO Box 4197
Jackson, WY 83001-4197

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X5051A (WY)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1356406557

ST John's Surgical Group, PC's National Provider Identifier is 1356406557, issued on Dec 27, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Jackson, WY. The record was last updated on Sep 25, 2014.