NPI 1104370337
Schroeder Surgical Assisting LLC
Practice location
- Address
- 625 E Broadway Ave, Jackson, WY 83001-8642
- Phone
- (208) 525-2090
- Fax
- (208) 523-8978
- Mailing address
- PO Box 9193, Jackson, WY 83002-9193
Authorised official
- Name
- Christopher Philip Schroeder
- Title
- Owner
- Phone
- (208) 525-2090
Registered specialties
Other Specialist/Technologist
Primary
Registry record
- NPI
- 1104370337
- Entity type
- Organization
- NPI issued
- 4 Aug 2016
- Record last updated
- 4 Aug 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.