Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON D PROVUS, MD
Active Sole ProprietorOrthopaedic Surgery · JACKSON, WY
Registration Details
- NPI Number
- 1972821320
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2010 (15.961085904493 yrs)
- Last Updated
- Mar 9, 2024
- License
-
16633A (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
555 E BROADWAY AVE STE 129JACKSON, WY, 830018640Browse WY providers · Browse ZIP 83001
- Phone
- 3077333900
- Fax
- 3077397683
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
Other Orthopaedic Surgery Providers in JACKSON, WY
| Name | Credential | NPI |
|---|---|---|
| DR. BLANE A WOODFIN | MD | 1104825025 |
| DR. HEIDI E MICHELSEN JOST | MD | 1649272204 |
| JOSHUA D. BECK | MD | 1295789089 |
| DR. JAMES R CHAMPA | M.D. | 1255359626 |
| DR. PETER E RORK | M.D. | 1336167667 |
| CHRISTOPHER CLAYTON HILLS | D.O. | 1518024488 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.