Evanston Hospital Corporation

NPI #1366989014 in Lyman, Wyoming

Provider Information

NPI Number
1366989014
Entity Type
Organization
Organization Name
Evanston Hospital Corporation
Primary Specialty
Family Medicine
Enumeration Date
Jan 19, 2017
Last Updated
Sep 20, 2018

Practice Location

Address
107 N MAIN ST.
City
Lyman
State
Wyoming
ZIP Code
82937-0001
Phone
(307) 787-3313

Authorized Official

Name
JEREMY DAVIS
Title
CEO
Phone
(307) 783-8255

Specialties & Taxonomy Codes

Specialty
Family Medicine

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Organizations

Provider Name
Evanston Clinic Corp

Part of Evanston Clinic Corp

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