NPI 1619165719

Evanston Internal Medicine Assoc.

Organisation Internal Medicine Physician Evanston, WY

Practice location

Address: 150 Arrowhead Dr, Evanston, WY 82930-9353
Phone: (307) 789-0524
Fax: (307) 789-6398

Authorised official

Name: Thomas J Simon
Title: President
Phone: (307) 789-0524

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 3812A (WY)

Other Internal Medicine providers in Wyoming →

Registry record

NPI: 1619165719
Entity type: Organization
NPI issued: 15 Oct 2007
Record last updated: 30 Nov 2015

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.