Evanston Internal Medicine Assoc.

NPI #1619165719 in Evanston, Wyoming

Provider Information

NPI Number: 1619165719
Entity Type: Organization
Organization Name: Evanston Internal Medicine Assoc.
Primary Specialty: Internal Medicine
Enumeration Date: Oct 15, 2007
Last Updated: Nov 30, 2015

Practice Location

Address: 150 ARROWHEAD DR
City: Evanston
State: Wyoming
ZIP Code: 82930-9353
Phone: (307) 789-0524

Authorized Official

Name: DR. THOMAS J SIMON, MD
Title: PRESIDENT
Phone: (307) 789-0524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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