NPI 1003081522

Evanston Surgical Center LLC

Organisation Surgery Physician Evanston, WY

Practice location

Address: 196 Arrowhead Dr Suite 8, Evanston, WY 82930-8752
Phone: (307) 789-1390
Fax: (307) 789-1391

Authorised official

Name: Michael J O'Connor
Title: Owner/Md
Phone: (307) 789-1390

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 5079A (WY)

Other Surgery providers in Wyoming →

Registry record

NPI: 1003081522
Entity type: Organization
NPI issued: 25 Apr 2008
Record last updated: 20 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.