Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 11143A | WY |
Y | 111NI0900X | Internist | 11143A | WY |
N | 208D00000X | General Practice Physician | 11143A | WY |
NPI | 1033535216 |
---|---|
Provider Name | Dr. Jonathan Figg |
First Address | Jackson, WY 83001 |
Second Address | Jackson, WY 83001-8213 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2014 |
Last Update Date | 11/03/2020 |