NPI 1306037296
Suburban Urology Network PLLC
Practice location
- Address
- 557 E Broadway, Jackson, WY 83001
- Phone
- (307) 734-1525
- Fax
- (307) 733-8276
- Mailing address
- PO Box 13099, Jackson, WY 83002-3099
Authorised official
- Name
- Lisa J Finkelstein
- Title
- Physician Owner
- Phone
- (307) 734-1525
Registered specialties
Urology Physician
Primary
Registry record
- NPI
- 1306037296
- Entity type
- Organization
- NPI issued
- 6 Aug 2007
- Record last updated
- 2 Oct 2007
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.