Organization
WILLIAM C NEAL, M.D. PLLC
Active
Other names
OTHOPAEDIC ASSOCIATES OF JACKSON HOLE
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C NEAL M.D. (PRESIDENT)
(307) 734-5999
Entity
Organization
Contact information
Practice address
945 WEST BRAODWAY, SUITE 202, JACKSON, WY 83001-7369
(307) 734-5999
(307) 734-0345
Mailing address
PO BOX 7369, JACKSON, WY 83002-7369
(307) 734-5999
(307) 734-0345
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6102A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05661001
BLUE CROSS BLUE SHIELD
WY
05
—
120327400
—
WY
05
—
805302900
—
ID
Enumeration date
10/31/2006
Last updated
06/23/2008
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