Evanston Emergency Physicians PLLC
Emergency Medicine, Emergency Medical Services in Evanston, WY. Organization (NPI-2).
NPI number1184706640
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1184706640
- Entity type
- Organization (NPI-2)
- Legal business name
- Evanston Emergency Physicians PLLC
- Organization subpart
- No
- Enumeration date
- Oct 20, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207PE0004X | Emergency Medicine, Emergency Medical Services | – | – | Yes |
Practice location
190 Arrowhead DrEvanston, WY 82930-9266
Phone 307-789-3636
Mailing address
123 Fox Point Loop RdEvanston, WY 82930-4779
Phone 307-679-8391
Authorized official
Kevin F. Omeara
President Ceo
3077893636
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