Organization
ORTHOPAEDIC ASSOCIATES IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY C NEAL M.D. (PRESIDENT)
(307) 734-5999
Entity
Organization
Contact information
Practice address
945 W BROADWAY, SUITE 202, JACKSON, WY 83001-7369
(307) 734-5999
Mailing address
PO BOX 7369, JACKSON, WY 83002-7369
(307) 734-5999
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
WY
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
WY
2085R0202X
Diagnostic Radiology Physician
Primary
—
WY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
04/23/2007
Last updated
10/22/2014
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