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Evanston Family Foot Care

NPI #1700060902 in Evanston, Wyoming

Provider Information

NPI Number
1700060902
Entity Type
Organization
Organization Name
Evanston Family Foot Care
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Enumeration Date
Dec 24, 2007
Last Updated
Jan 6, 2008

Practice Location

Address
1565 HIGHWAY 150 SOUTH
Address 2
SUITE C
City
Evanston
State
Wyoming
ZIP Code
82930-5348
Phone
(307) 789-8997

Authorized Official

Name
DR. JASON CANNON LEVITRE, DPM
Title
PODIATRIST
Phone
(307) 789-8997

Specialties & Taxonomy Codes

Specialty
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery

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