Whalio Doctors

NPI 1013916519

Evanston Clinic Corp

Organisation Family Medicine Physician Evanston, WY

Practice location

Address
196 Arrowhead Dr STE 8, Evanston, WY 82930-8752
Phone
(307) 783-8365
Fax
(307) 783-8284
Mailing address
PO Box 5009, Brentwood, TN 37024-5009

Authorised official

Name
Laura J Fey
Title
Director Revenue Cycle
Phone
(615) 221-3641

Registered specialties (9)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X
Obstetrics & Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207V00000X
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X
Urology Physician
Allopathic & Osteopathic Physicians Taxonomy 208800000X
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

Registry record

NPI
1013916519
Entity type
Organization
NPI issued
18 Jul 2005
Record last updated
4 Mar 2019

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.