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Contact Information

SIGNATURE PLASTIC SURGERY, PLLC
260 N MILLWARD ST
JACKSON, WY83001-8581
 Phone: 307-699-3115
 Fax: 863-208-9210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SIGNATURE PLASTIC SURGERY, PLLC

NPI # 1558903146
LBN Legal business name SIGNATURE PLASTIC SURGERY, PLLC
Authorized official LAURA COOPER - (PRESIDENT / OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/15/2019
Last updated 01/02/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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