Organization
TETON SURGICAL ASSIST SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL VATTER RNFA (SOLE MEMBER)
(307) 413-6424
Entity
Organization
Contact information
Practice address
1200 MELODY CREEK LN, JACKSON, WY 83001-8982
(307) 413-6424
Mailing address
1200 MELODY CREEK LN, JACKSON, WY 83001-8982
(307) 413-6424
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
29304
WY
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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