NPI 1104825025 · live from the CMS NPI Registry
Blane A Woodfin, MD
Orthopaedic Surgery in Jackson, WY. National Provider Identifier 1104825025, active.
NPI record
| NPI | 1104825025 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 555 E Broadway, Jackson, WY 83001 |
| Practice phone | 307-733-3900 |
| Mailing address | Po Box 10490, Jackson, WY 83002 |
| Enumerated | July 21, 2005 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | 6665A (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.