Individual provider · Type 1 NPI
Jason D. Provus, MD
Orthopaedic Surgery Physician · Jackson, WY
Practice location
555 E Broadway Ave Ste 129
Jackson, WY 83001-8640
Fax (307) 739-7683
Mailing address
PO Box 428
Jackson, WY 83001-0428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery Physician Primary | 207X00000X | 16633A (WY) |
Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…
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About NPI 1972821320
Jason D. Provus, MD's National Provider Identifier is 1972821320, issued on May 10, 2010. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Jackson, WY. The record was last updated on Mar 9, 2024.