Organization
SNAKE RIVER PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BARRY GELLIS MD (MEMBER)
(307) 733-6077
Entity
Organization
Contact information
Practice address
555 E. BROADWAY, SUITE 212, JACKSON, WY 83001
(307) 733-6077
Mailing address
PO BOX 2862, JACKSON, WY 83001-2862
(307) 733-6077
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2735A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508997032
NPI TYPE 1
WY
Enumeration date
06/25/2010
Last updated
06/25/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us