Individual
DR. WILLIAM J JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 AVENUE H, POWELL, WY 82435
(307) 754-7257
(307) 754-7744
Mailing address
777 AVENUE H, POWELL, WY 82435
(307) 754-7257
(307) 754-7744
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
39980
WI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
39980
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32457500
—
WI
Enumeration date
06/07/2006
Last updated
08/11/2015
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