Ear, Nose & Throat Center of Wyoming, LLC

NPI #1760603138 in Evanston, Wyoming

Provider Information

NPI Number: 1760603138
Entity Type: Organization
Organization Name: Ear, Nose & Throat Center of Wyoming, LLC
Primary Specialty: Otolaryngology
Enumeration Date: May 1, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 196 ARROWHEAD DR STE 5
City: Evanston
State: Wyoming
ZIP Code: 82930-8752
Phone: (801) 328-2522

Authorized Official

Name: EVON PEFAUR
Title: BILLING
Phone: (801) 328-2522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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