NPI 1558903146

Signature Plastic Surgery, PLLC

Organisation Plastic Surgery Physician Jackson, WY

Practice location

Address: 260 N Millward St, Jackson, WY 83001-8581
Phone: (307) 699-3115
Fax: (863) 208-9210
Mailing address: PO Box 1148, Jackson, WY 83001-1148

Authorised official

Name: Laura Beth Cooper
Title: President / Owner
Phone: (307) 699-3115

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Wyoming →

Registry record

NPI: 1558903146
Entity type: Organization
NPI issued: 15 Oct 2019
Record last updated: 2 Jan 2024

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.