JACKSON HOLE SURGERY
Radiology in Jackson, WY

License number
Wyoming 6475A
Category
Radiology
Type
Surgery
Owner
Name: JAMES M. BALLIRO M.D.
Title: OWNER
Phone: (307) 734-1600
Address
Address
555 E. Broadway SUITE 212, Jackson, WY 83001
National Provider ID: 1437321650
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JACKSON HOLE SURGERY at bizstanding.com

Jackson Hole Surgery, PC

%Roland Fleck, Jackson, WY 83001

Status:
Inactive
Registration:
Jul 7, 1981
Inactive since:
Mar 8, 1984
State ID:
1980-000182352
Business type:
Profit Corporation - Domestic
Expiration:
Perpetual

Radiology licenses in Wyoming










Other Doctors licenses in Wyoming