Snake River Plastic Surgery Llc

  • 1104137074 NPI Number
  • |
  • Actived: 9 years ago
  • |
According to our database, NPI number for Snake River Plastic Surgery Llc is 1104137074 and actived since Friday, June 25 2010. Snake River Plastic Surgery Llc is an Organization provider specializes in Specialist. Provider information was last updated on 06/25/2010.

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Overview of Snake River Plastic Surgery Llc

  • NPI number: 1689175101
  • Provider type: Organization
  • Specialty: Specialist
  • Active since: 06/25/2010
  • Last updated: 06/25/2010

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 2735A
  • License State: WY

Provider Mailing Address

  • Address: Po Box 2862
    Jackson, WY 83001
  • Phone: 307-733-6077
  • Fax:

Provider Practice Location

  • Address: 555 E. Broadway
    Suite 212
    Jackson, WY 83001
  • Phone: 307-733-6077
  • Fax:

Authorized Official

  • Name: DR. Michael Barry Gellis MD
  • Position/Title: Member
  • Telephone Number: 307-733-6077

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 2735A
  • License State: WY
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1508997032
  • Identifier Type: Other
  • Identifier State: WY
  • Issuer: NPI TYPE 1

Question & Answers

What is the npi number?

  • Q: What is the npi number for Snake River Plastic Surgery Llc?
  • A: The npi number for Snake River Plastic Surgery Llc is 1104137074.
  • Q: What are Snake River Plastic Surgery Llc's specialties?
  • A: Snake River Plastic Surgery Llc's specialties are Specialist and different specialities.
  • Q: Where is Snake River Plastic Surgery Llc business practice location?
  • A: Snake River Plastic Surgery Llc business practice location is 555 E. Broadway, Jackson, WY 83001.
  • Q: How to contact Snake River Plastic Surgery Llc?
  • A: You can contact Snake River Plastic Surgery Llc via 307-733-6077.
  • Q: What is the authorized official for Snake River Plastic Surgery Llc?
  • A: The authorized office name is DR. Michael Barry Gellis MD with position/title is Member and you can reach the authorized official via phone number 3077336077.