NPI 1316011562
State of Wyoming
Practice location
- Address
- 251 Yellowstone River Dr, Evanston, WY 82930-5340
- Phone
- (307) 444-0839
- Fax
- (307) 789-7373
- Mailing address
- PO Box 177, Evanston, WY 82931-0177
Authorised official
- Name
- Kristi Barker
- Title
- Business Manager
- Phone
- (307) 444-0721
Registered specialties (2)
Psychiatric Hospital
Primary
General Practice Physician
Registry record
- NPI
- 1316011562
- Entity type
- Organization
- NPI issued
- 20 Nov 2006
- Record last updated
- 25 Jan 2024
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.