NPI 1235503459

South Lincoln Hospital District

Organisation Family Medicine Physician Evanston, WY

Practice location

Address: 195 Feather Way STE 100, Evanston, WY 82930-9352
Phone: (307) 200-9200
Fax: (307) 200-4808

Authorised official

Name: Karl E Sundberg
Title: Ceo
Phone: (307) 877-4401

Registered specialties (3)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 10314A (WY)

Other Family Medicine providers in Wyoming →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Wyoming →

Registry record

NPI: 1235503459
Entity type: Organization
NPI issued: 26 Nov 2015
Record last updated: 3 Mar 2020

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.