NPI 1255562690

Uinta General Surgery

Organisation Surgery Physician Evanston, WY

Practice location

Address: 196 Arrowhead Dr STE 4, Evanston, WY 82930-8752
Phone: (307) 789-8721
Fax: (307) 783-8664

Authorised official

Name: Jared Breck Barton
Title: General Surgeon/Owner
Phone: (307) 789-8721

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence TL1200 (WY)

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Registry record

NPI: 1255562690
Entity type: Organization
NPI issued: 3 Aug 2009
Record last updated: 14 Aug 2009

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.