Individual
REBECCA ASHLEY SJOSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 E BROADWAY AVE STE 211, JACKSON, WY 83001-8640
(307) 699-6801
(307) 733-6912
Mailing address
970 W BROADWAY STE E121, JACKSON, WY 83001-6402
(307) 699-6801
(307) 733-6912
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13178A
WY
207X00000X
Orthopaedic Surgery Physician
48707
CO
207X00000X
Orthopaedic Surgery Physician
80375
AZ
207X00000X
Orthopaedic Surgery Physician
8081
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13178A
WY MEDICAL LICENSE
WY
01
—
48707
COLORADO MEDICAL LICENSE
CO
01
—
8081
ALASKA MEDICAL LICENSE
AK
Enumeration date
03/31/2008
Last updated
04/27/2026
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