OrganizationActive
Hole Ortho LLC
NPI 1831871250 · Orthopaedic Surgery Physician · Jackson, WY
Provider details
- NPI number
- 1831871250
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rebecca Sjostrom, Owner(307) 699-6801
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
555 E Broadway Ave Ste 211
Jackson, WY 83001-8640
Phone: (307) 699-6801
Fax: (307) 733-6912
Approximate (ZIP-level) locationGet directions
Mailing address
970 W Broadway Ste E121
Jackson, WY 83001-6402
Registry dates
- Enumerated
- 2023-08-04
- Last updated
- 2024-04-29
- Certified
- 2024-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.