NPI 1619237625

Tadge Kanjo General Surgery LLC

Organisation Surgery Physician Evanston, WY

Practice location

Address: 196 Arrowhead Dr Suite 6, Evanston, WY 82930-8752
Phone: (307) 783-8361
Fax: (307) 783-8399

Authorised official

Name: Tadge Kanjo
Title: Sole Mbr
Phone: (505) 246-6910

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD2012-0060 (NM)

Other Surgery providers in Wyoming →

Registry record

NPI: 1619237625
Entity type: Organization
NPI issued: 23 May 2012
Record last updated: 30 Apr 2013

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.