Evanston Clinic Corp

NPI #1013916519 in Evanston, Wyoming

Provider Information

NPI Number
1013916519
Entity Type
Organization
Organization Name
Evanston Clinic Corp
Primary Specialty
Family Medicine
Enumeration Date
Jul 18, 2005
Last Updated
Mar 4, 2019

Practice Location

Address
196 ARROWHEAD DR STE 8
State
Wyoming
ZIP Code
82930-8752
Phone
(307) 783-8365

Authorized Official

Name
LAURA J FEY
Title
DIRECTOR REVENUE CYCLE
Phone
(615) 221-3641

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Internal Medicine
Obstetrics & Gynecology
Surgery
Urology
General Practice
Physician Assistant
Physician Assistant - MedicalMedical
Family Medicine

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