Evanston Surgical Center LLC

NPI #1003081522 in Evanston, Wyoming

Provider Information

NPI Number
1003081522
Entity Type
Organization
Organization Name
Evanston Surgical Center LLC
Primary Specialty
Surgery
Enumeration Date
Apr 25, 2008
Last Updated
Oct 20, 2008

Practice Location

Address
196 ARROWHEAD DR
Address 2
SUITE 8
State
Wyoming
ZIP Code
82930-8752
Phone
(307) 789-1390

Authorized Official

Name
DR. MICHAEL J O'CONNOR
Title
OWNER/MD
Phone
(307) 789-1390

Specialties & Taxonomy Codes

Specialty
Surgery

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